Large pulmonary masses containing varicose veins: a rare presentation of benign metastasising leiomyomas.
A 48-year-old woman presented with cough and chest pain. A chest radiograph and CT scans showed bilateral lung masses containing massive venous varices. A core biopsy specimen revealed benign metastasising leiomyoma with strong expression of progesterone receptors. A review of her medical history revealed a hysterectomy 11 years earlier. The lung masses showed significant reduction in size after induction of artificial menopause, although the pulmonary varices persisted.
Department of Radiology, The Liverpool Heart and Chest Hospital, Liverpool, UK.
R
R
Challa
K L
KL
Irion
B
B
Hochhegger
M
M
Shackloth
H
H
Elsayed
J R
JR
Gosney
S
S
Binukrishnan
E
E
Marchiori
V Cardinal
VC
Da Silva
D002637:Chest Pain / Q000209:etiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000098:blood supply* / Q000628:therapy; D008175:Lung Neoplasms / Q000098:blood supply* / Q000556:secondary / Q000628:therapy; D008875:Middle Aged; D014056:Tomography, X-Ray; D014594:Uterine Neoplasms / Q000601:surgery; D014648:Varicose Veins / Q000000981:diagnostic imaging* / Q000628:therapy