open access

Vol 85, No 4 (2017)
CASE REPORTS
Published online: 2017-07-31
Submitted: 2017-02-28
Accepted: 2017-04-21
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Metastasising leiomyoma of the uterus with pulmonary involvement — case report

Marta Maskey-Warzęchowska, Magdalena Chojnowska, Konrad Ptaszyński, Renata Rubinsztajn, Marzena Padzik-Moczydłowska, Rafał Krenke
DOI: 10.5603/ARM.2017.0035
·
Adv Respir Med 2017;85(4):211-215.

open access

Vol 85, No 4 (2017)
CASE REPORTS
Published online: 2017-07-31
Submitted: 2017-02-28
Accepted: 2017-04-21

Abstract

Benign metastasising leiomyoma (BML) is characterised by extrauterine smooth muscle tumours in women after surgical treatment for uterine leiomyoma. Usually manifested as solitary or multiple focal lesions in various organs, it imposes a scrutinous diagnostic work-up to exclude a malignant disease and requires confirmation in microscopic examination of the extrauterine focus.

The authors present a case of a 56-year-old woman with BML manifesting as bilateral multiple pulmonary nodules, with a tentative diagnosis of a disseminated malignant disease of mesenchymal origin.

The patient underwent multiple diagnostic tests, which excluded malignancy. The definite diagnosis was established after the microscopic reevaluation of an excised pulmonary nodule. The patient is monitored with chest magnetic resonance. BML should be considered in the differential diagnosis of multiple pulmonary nodules in asymptomatic women. Patients with BML require long-term monitoring, therefore the selected imaging method should not carry the risk of cumulative side effects.

Abstract

Benign metastasising leiomyoma (BML) is characterised by extrauterine smooth muscle tumours in women after surgical treatment for uterine leiomyoma. Usually manifested as solitary or multiple focal lesions in various organs, it imposes a scrutinous diagnostic work-up to exclude a malignant disease and requires confirmation in microscopic examination of the extrauterine focus.

The authors present a case of a 56-year-old woman with BML manifesting as bilateral multiple pulmonary nodules, with a tentative diagnosis of a disseminated malignant disease of mesenchymal origin.

The patient underwent multiple diagnostic tests, which excluded malignancy. The definite diagnosis was established after the microscopic reevaluation of an excised pulmonary nodule. The patient is monitored with chest magnetic resonance. BML should be considered in the differential diagnosis of multiple pulmonary nodules in asymptomatic women. Patients with BML require long-term monitoring, therefore the selected imaging method should not carry the risk of cumulative side effects.

Get Citation

Keywords

computed tomography, magnetic resonance, pulmonary nodules, uterine myoma

About this article
Title

Metastasising leiomyoma of the uterus with pulmonary involvement — case report

Journal

Advances in Respiratory Medicine

Issue

Vol 85, No 4 (2017)

Pages

211-215

Published online

2017-07-31

DOI

10.5603/ARM.2017.0035

Bibliographic record

Adv Respir Med 2017;85(4):211-215.

Keywords

computed tomography
magnetic resonance
pulmonary nodules
uterine myoma

Authors

Marta Maskey-Warzęchowska
Magdalena Chojnowska
Konrad Ptaszyński
Renata Rubinsztajn
Marzena Padzik-Moczydłowska
Rafał Krenke

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