Dai HY, Guo SL, Shen J, Yang L. Pulmonary benign metastasizing leiomyoma: A case report and review of the literature. World J Clin Cases 2020; 8(14): 3082-3089 [PMID: 32775390 DOI: 10.12998/wjcc.v8.i14.3082]
Corresponding Author of This Article
Li Yang, MD, Associate Chief Physician, Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, No. 1, Youyi Road, Yuan Jiagang, Yuzhong District, Chongqing 400010, China. yangli_018@sina.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 26, 2020; 8(14): 3082-3089 Published online Jul 26, 2020. doi: 10.12998/wjcc.v8.i14.3082
Pulmonary benign metastasizing leiomyoma: A case report and review of the literature
Hai-Yun Dai, Shu-Liang Guo, Jian Shen, Li Yang
Hai-Yun Dai, Shu-Liang Guo, Li Yang, Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
Jian Shen, Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
Author contributions: Dai HY searched and screened the literature and contributed to drafting of the manuscript; Shen J helped to search the literature; Guo SL modified the manuscript; Yang L was responsible for revision of the manuscript and for contributing important intellectual content; all authors issued final approval for the version to be submitted.
Supported bythe Chongqing Science and Technology Committee, No. cstc2019jscx-msxmX0184.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Li Yang, MD, Associate Chief Physician, Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, No. 1, Youyi Road, Yuan Jiagang, Yuzhong District, Chongqing 400010, China. yangli_018@sina.com
Received: April 20, 2020 Peer-review started: April 20, 2020 First decision: June 2, 2020 Revised: June 16, 2020 Accepted: July 1, 2020 Article in press: July 1, 2020 Published online: July 26, 2020 Processing time: 95 Days and 1.1 Hours
Abstract
BACKGROUND
Pulmonary benign metastatic leiomyoma (PBML), which is very rare, is a type of benign metastatic leiomyoma (BML). Here, we report a case of PBML, finally diagnosed through multidisciplinary team (MDT) discussions, and provide a literature review of the disease.
CASE SUMMARY
A 55-year old asymptomatic woman was found to have bilateral multiple lung nodules on a chest high-resolution computed tomography (HRCT) scan. Her medical history included total hysterectomy for uterine leiomyoma. The patient was diagnosed with PBML, on the basis of her clinical history, imaging manifestations, and computed tomography (CT)-guided percutaneous lung puncture biopsy, via MDT discussions. As the patient was asymptomatic, she received long-term monitoring without treatment. A follow-up of chest HRCT after 6 mo showed that the PBML lung nodules were stable and there was no progression.
CONCLUSION
For patients with a medical history of hysterectomy and uterine leiomyoma with lung nodules on chest CT, PBML should be considered during diagnosis based on the clinical history, imaging manifestations, CT-guided percutaneous lung puncture biopsy, and MDT discussions.
Core tip: Pulmonary benign metastatic leiomyoma (PBML) is a rare disease, and a type of benign metastatic leiomyoma, which is usually misdiagnosed. In order to avoid misdiagnosis and treat this disease effectively, we report the diagnosis and treatment of a patient with PBML as the final diagnosis based on her clinical history of uterine leiomyoma, imaging manifestations, biopsy, and multidisciplinary team discussions. A literature review of PBML was also carried out.
