肺良性子宫转移性平滑肌瘤1例。

Johsuke Hara, Kouichi Nishi, Yoshio Tsunezuka, Hiroshi Kurumaya, Kazuyoshi Katayanagi, Masaki Fujimura
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引用次数: 0

摘要

我们在此报告一例来自子宫的肺良性转移性平滑肌瘤。一名48岁女性因子宫平滑肌瘤切除全子宫并切除左卵巢7年后,在胸片上发现多发肺结节入院。经胸腔镜肺活检得到的病变标本与平滑肌瘤一致。子宫肌瘤的组织学复查显示与肺肿瘤的组织学相似。肺组织雌激素和孕激素受体免疫组织染色均为阳性。基于这些结果,我们诊断肺部病变为BML。患者未接受任何治疗,在6年随访期间未出现疾病恶化的迹象。
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[A case of pulmonary benign metastasizing leiomyoma from the uterus].

We report here a case of pulmonary benign metastasizing leiomyoma (BML) from the uterus. A 48-year-old woman was admitted to our hospital because of multiple pulmonary nodules on the chest radiograph 7 years after total hysterectomy with removal of the left ovarium for uterine leiomyoma. A specimen of the lesion obtained by a thoracoscopic lung biopsy was consistent with leiomyoma. Histological re-evaluation of the uterine myoma showed similar histology as compared with the lung tumor. Immunohistological staining for both estrogen and progesterone receptors on the lung tissue was positive. Based on these results, we diagnosed the pulmonary lesions as BML. The patient received no treatment and has shown no evidence of exacerbation of disease during 6 years of follow up.

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