Unexpected pulmonary tumor: Metastasis from a benign uterine leiomyoma in a post-menopausal woman: A case report

被引:13
作者
Efared B. [1 ]
Atsame-Ebang G. [1 ]
Sani R. [2 ]
Tahiri L. [1 ]
Sidibe I.S. [1 ]
Erregad F. [1 ]
Hammas N. [1 ,3 ,4 ]
Smahi M. [2 ,4 ]
Serraj M. [4 ,5 ]
Chbani L. [1 ,3 ,4 ]
Fatemi H.E. [1 ,3 ,4 ]
机构
[1] Department of Pathology, Hassan II University Hospital, Fès
[2] Department of Thoracic Surgery, Hassan II University Hospital, Fès
[3] Laboratory of Translational and Biomedical Research, Faculty of Medicine and Pharmacology, Sidi Mohamed Ben Abdellah University, Fès
[4] Faculty of Medicine and Pharmacology, Sidi Mohamed Ben Abdellah University, Fès
[5] Department of Pneumology, Hassan II University Hospital, Fès
关键词
Benign; Leiomyoma; Lung; Metastasis; Uterus;
D O I
10.1186/s13104-017-2998-6
中图分类号
学科分类号
摘要
Background: The occurrence of lung metastasis from benign uterine leiomyomas is rarely reported especially in post menopausal women. The pathogenesis of these metastatic benign tumors still remains a subject of various speculations. Case presentation: A 57-year-old woman presented with a chronic cough and dyspnea. She had undergone 8 years previously, hysterectomy for benign leiomyomas. A chest computed tomography scan showed a 4 cm solitary nodular parenchymal tumor that increased in size after 12 months. The histological analysis of the biopsy from this nodule showed a benign tumor with regular spindle cells disposed in intersected fascicles. At immunohistochemical analysis, the tumor cells were positive for smooth muscle markers and oestrogen-progesterone receptors with a low mitotic index assessed by Ki-67. These features were consistent with a benign metastasizing uterine leiomyoma. At the multidisciplinary meeting, prescription of an aromatase inhibitor has been decided for the patient. Conclusions: Benign metastasizing uterine leiomyomas of the lung are very rare tumors. Although extremely rare in post menopausal women, their diagnosis should be considered in symptomatic patients with a history of hysterectomy for leiomyomas. © 2017 The Author(s).
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