Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Benign Metastasizing Leiomyoma of Lung

폐로 전이된 양성 전이성 근종

  • Cho Suk-Ki (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital) ;
  • Ryu Kyong-Min (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital) ;
  • Sung Sook-Whan (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine) ;
  • Chung Jin-Haeng (Department of Pathology, Seoul National University Bundang Hospital, Department of Pathology, Seoul National University College of Medicine) ;
  • Lee Jae-Ho (Department of Internal Medicine, Seoul National University Bundang Hospital, Department of Infernal Medicine, Seoul National University College of Medicine) ;
  • Kim Young-Bum (Department of Obstetric and Gynecology, Seoul National University Bundang Hospital, Department of Obstetric and Gynecology, Seoul National University College of Medicine) ;
  • Jheon Sang-Hoon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine)
  • 조석기 (분당서울대학교병원 흉부외과) ;
  • 류경민 (분당서울대학교병원 흉부외과) ;
  • 성숙환 (분당서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 정진행 (분당서울대학교병원 병리과, 서울대학교 의과대학 병리학교실) ;
  • 이재호 (분당서울대학교병원 내과, 서울대학교 의과대학 내과학교실) ;
  • 김용범 (분당서울대학교병원 산부인과, 서울대학교 의과대학 산부인과학교실) ;
  • 전상훈 (분당서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실)
  • Published : 2006.04.01
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Abstract

Benign metastasizing leiomyoma (BML) is a rare entity, characterized by the occurrence of multiple smooth muscle nodules in the lung with histologically benign leiomyoma, Both the uterine and pulmonary tumors have been found to express estrogen and progesterone receptors, which suggest that the pulmonary lesions represented metastases from leiomyoma. We experienced a 41-year-old female patient with BML and report here with the literature review.

양성 전이성 근종은 조직학적으로는 양성 종양의 소견을 보이는 자궁근종에서 폐로 전이되어, 임상적으로는 악성 종양의 성질을 지닌 매우 드문 질환이다. 저자들은 자궁근종으로 자궁 절제술을 계획하고 있는 환자에서 다발성 폐 결절이 발견되어, 폐절제술과 자궁절제술을 동시에 시행하였다. 수술후 조직병리 검사에서 폐 결절에서 호르몬 수용체 존재를 확인하여 양성 전이성 근종으로 확진할 수 있었으며, 환자는 수술 후 특별한 치료 없이 외래 추적 관찰 중이다.

Keywords

References

  1. Steiner PE. Metastasizing fibroleiomyoma of the uterus. Am J Pathol 1939;15:89-109
  2. Horstmann JP, Pieta GG, Harman JA, Cole NG, Crinspan S. Spontaneous regression of pulmonary leiomyomas during pregnancy. Cancer 1977;39:314-21 https://doi.org/10.1002/1097-0142(197701)39:1<314::AID-CNCR2820390148>3.0.CO;2-N
  3. Simeon A, Robert CG, Jeffrey DG, et al. Benign metastasizing leiomyoma: clinical, imaging, and pathologic correlation. AJR 2001;176:1409-13 https://doi.org/10.2214/ajr.176.6.1761409
  4. Jautzke G, Muller-Ruchholtz E, Thalmann U. Immunohistological detection of estrogen and progesterone receptors in multiple and well differentiated leiomyomatous lung tumors in women with uterine leiomyomas. Path Res Prac 1996;192: 215-23 https://doi.org/10.1016/S0344-0338(96)80224-X
  5. Goyle KK, Moore FD, Christine G, et al. Benign metastasizing leiomyomatosis. Am J Clin Oncol 2003;26:473-6 https://doi.org/10.1097/01.coc.0000037737.78080.E3
  6. Park CB, Suh JH, Chang YH, et al. Benign metastasiging leiomyoma of lung. a case report. Korean J Thorac Cardiovasc Surg 2001;34:422-5