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.
Challa
R
R
Department of Radiology, The Liverpool Heart and Chest Hospital, Liverpool, UK.
Irion
K L
KL
Hochhegger
B
B
Shackloth
M
M
Elsayed
H
H
Gosney
J R
JR
Binukrishnan
S
S
Marchiori
E
E
Da Silva
V Cardinal
VC
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