A Case of Benign Metastasizing Pulmonary Leiomyoma.

Kang, Shin Ae; Choi, Sang In; Kim, Yeon A; Kim, Chong Ju; Yang, Dong Gyoo; Kang, Jeong Han; Kie, Jeong Hae; Hong, Yong Kook; Lee, Sun Min

doi:2005.58.6.614

Tuberc Respir Dis > Volume 58(6); 2005 > Article

Case Report

Tuberculosis and Respiratory Diseases 2005;58(6):614-618.
DOI: https://doi.org/10.4046/trd.2005.58.6.614 Published online June 1, 2005.

A Case of Benign Metastasizing Pulmonary Leiomyoma.

Shin Ae Kang, Sang In Choi, Yeon A Kim, Chong Ju Kim, Dong Gyoo Yang, Jeong Han Kang, Jeong Hae Kie, Yong Kook Hong, Sun Min Lee

¹Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea. minny@nhimc.or.kr
²Department of Family medicine, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.
³Department of Chest Surgery, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.
⁴Department of Anatomical Pathology, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.
⁵Department of Radiology, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.

Abstract

A benign metastasizing pulmonary leiomyoma (BMPL) is a rare disease that usually occurs in women with a prior or coincident history of uterine leiomyoma. Although leiomyoma is histologically benign, it has the potential to metastasize to a distant site such as the lung. A 35 year old woman who had undergone a hysterectomy due to uterine leiomyoma 5 years prior was admitted for an investigation of multiple pulmonary nodules on a routine chest roentgenogram. An open lung biopsy was taken to make a pathological diagnosis. The microscopic finding of the nodules was leiomyoma and was similar to those of the uterine leiomyoma that had been resected 5 years ago. The woman underwent wedge resections of all pulmonary nodules. This is the first case of BMPL in Korea, which was treated with wedge resections of all multiple pulmonary nodules.

Key Words: Benign metastasizing pulmonary leiomyoma, Uterine leiomyoma, Wedge resection