eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2016
vol. 13
 
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abstract:

Benign metastasizing leiomyomas in the lungs: a case study

Alina Janina Wiencek-Weiss
,
Krzysztof Bruliński

Kardiochirurgia i Torakochirurgia Polska 2016; 13 (1): 61-63
DOI: https://doi.org/10.5114/kitp.2016.58970
Online publish date: 2016/03/31
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Benign metastasizing leiomyoma (BML) is a rare disease that occurs in middle-aged women with a history of uterine myomas. The most common location of BML is the lungs.

We report the case of a 44-year-old obese woman (BMI 45.5) who underwent surgery to remove uterine leiomyomata and then continued to take a drug containing the hormone estradiol for a period of 15 years. Computed tomography chest examinations revealed multiple size nodules of varying size in both lungs. Videothoracoscopy and right thoracotomy was performed, and a few nodules were enucleated from each lobe of the right lung. Postoperative histopathological examination revealed benign metastasizing leiomyoma staining positive for estrogen and progesterone receptors (ER+, PR+). Because of the hormonally dependent cell proliferation, the previously used hormonal drug was discontinued. Treatment with a gonadotropin-releasing hormone analog was included, yielding radiological stabilization of the lung lesions.
keywords:

BML, benign metastasizing leiomyoma, uterine myomas
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