Cystic, nodular and cavitary metastases to the lungs in a patient with endometrial stromal sarcoma of the uterus.
A 57-year-old woman, who had undergone hysterectomy for uterine myoma 11 years earlier presented with cystic, nodular and cavitary lesions simultaneously visible on computed tomography images of the chest. Histological examinations of both the resected lung and past "myoma" specimens demonstrated that the original uterine tumor was a low-grade endometrial stromal sarcoma (ESS) that had metastasized to the lungs. No previous reports have described the coexistence of cystic, nodular and cavitary lesions with pulmonary metastasis of ESS; however, we successfully correlated the radiologic appearance with the corresponding pathologic findings. Medroxyprogesterone acetate therapy has effectively kept the patient asymptomatic for approximately five years.
Division of Respiratory Medicine, Juntendo University Faculty of Medicine and Graduate School of Medicine, Japan.
Akiko
A
Murakami
Takuo
T
Hayashi
Yasuhisa
Y
Terao
Takanori
T
Mori
Toshio
T
Kumasaka
Kuniaki
K
Seyama
Kazuhisa
K
Takahashi
D003937:Diagnosis, Differential; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods; D049268:Positron-Emission Tomography; D018203:Sarcoma, Endometrial Stromal / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed