Turkish Journal of Pathology

Türk Patoloji Dergisi

Turkish Journal of Pathology

Turkish Journal of Pathology

2016, Vol 32, Num, 3     (Pages: 193-195)

Pulmonary Benign Metastasizing Leiomyoma: An Extremely Rare Case

Yetkin AĞAÇKIRAN 1, Göktürk FINDIK 2, Leyla N. ÜSTÜN 2, Koray AYDOĞDU 2, Sadi KAYA 2

1 Department of Pathology, Atatürk Chest Diseases and Thoracic Surgery Education and Research Hospital, ANKARA, TURKEY
2 Department of Chest Surgery, Atatürk Chest Diseases and Thoracic Surgery Education and Research Hospital, ANKARA, TURKEY

DOI: 10.5146/tjpath.2013.01217
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Benign metastasizing leiomyoma is typically seen in young premenopausal women after a mean period of 15 years following uterine leiomyoma or hysterectomy surgery. They are usually incidentally seen on chest x-rays and are nodular lesions that appear as bilateral nodules with a benign appearance and consist of smooth muscle proliferation. A 44-year-old female presented at her healthcare institution for backache for the last 9 months. Multiple nodules (largest 15 mm) scattered in both lungs and consistent with metastases were detected on computed tomography. The PET-CT results revealed multiple nodular densities with increased metabolic activity (SUVmax: 1.92) in both lungs, with the largest one measuring approximately 15 mm and located in the lower lobe superior segment of the right lung. A benign metastasizing leiomyoma was diagnosed with open wedge biopsy of the lung. We present this case due to its interesting clinical presentation and rarity and emphasize the pathogenesis.

Keywords : Leiomyoma, Uterus, Lung, Metastasis, Lymphatic