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Primary Endobronchial Leiomyoma Combined with Uterine Leiomyoma  

Shim, Hyun Jeong (Department of Internal medicine, School of Medicine, Chonnam National University)
Lim, Jung-Hwan (Department of Internal medicine, School of Medicine, Chonnam National University)
Lee, Seok (Department of Internal medicine, School of Medicine, Chonnam National University)
Kim, Dae Hyun (Department of Internal medicine, School of Medicine, Chonnam National University)
Park, Kang Jin (Department of Internal medicine, School of Medicine, Chonnam National University)
Lee, Se Ryeon (Department of Internal medicine, School of Medicine, Chonnam National University)
Jeong, Jong-Pil (Department of Internal medicine, School of Medicine, Chonnam National University)
Son, Jun-Gwang (Department of Internal medicine, School of Medicine, Chonnam National University)
Kim, Soo-Ok (Department of Internal medicine, School of Medicine, Chonnam National University)
Oh, In-Jae (Department of Internal medicine, School of Medicine, Chonnam National University)
Kim, Kyu-Sik (Department of Internal medicine, School of Medicine, Chonnam National University)
Kim, Yu-Il (Department of Internal medicine, School of Medicine, Chonnam National University)
Lim, Sung-Chul (Department of Internal medicine, School of Medicine, Chonnam National University)
Kim, Young-Chul (Department of Internal medicine, School of Medicine, Chonnam National University)
Kim, Seok-Mo (Department of Obstetrics and Gynecology, School of Medicine, Chonnam National University)
Na, Kook-Joo (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Chonnam National University)
Publication Information
Tuberculosis and Respiratory Diseases / v.61, no.5, 2006 , pp. 490-495 More about this Journal
Abstract
Leiomyoma of the bronchus is a very rare benign tumor of the lung. Most endobronchial leiomyomas occur as secondary foci of primary uterine leiomyoma. We herein report a case with endobronchial tumor that had a different pathology from a primary resected uterine leiomyoma and was therefor considered a primary endobronchial leiomyoma. A 51-year-old woman with a history of uterine myoma presented with productive cough and fever. Bronchoscopy revealed a lightly yellow colored mass lesion that totally obstructed the orifice of the left lower lobe of the lung. The diagnosis of leiomyoma was made by histological examination of the obtained specimen. We considered the possibility of a benign metastasizing pulmonary leiomyoma. For treatment and differential diagnosis, a left lower lobe lobectomy of the lung and total hysterectomy with bilateral salphingooopherectomy were performed. The differences between lung and uterine lesions were confirmed by morphologic finding and immunohistochemical staining. The pathological diagnosis was primary endobronchial leiomyoma combined with uterine myoma.
Keywords
Primary endobronchial leiomyoma; Uterine leiomyoma;
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1 White SH, Ibrahim NB, Forrester-Wood CP, Jeyasingham K. Leiomyomas of the lower respiratory tract. Thorax 1985;40:306-11   DOI   ScienceOn
2 Lee SC, Park MS, Chung JH, Kim YS, Kim KD, Chang J, et al. Two cases of bronchial leiomyoma initially misdiagnosed as bronchial asthma. Tuberc Respir Dis 2003;55:616-22   DOI
3 Esteban JM, Allen WM, Schaerf RH. Benign metastasizing leiomyoma of the uterus: histologic and immunohistochemical characterization of primary and metastatic lesions. Arch Pathol Lab Med 1999123:960-2
4 Orlowski TM, Stasiak K, Kolodziej J. Leiomyoma of the lung. J Thorac Cardiovasc Surg 1978;76:257-61
5 Choi JC, Yu CM, Ryu YJ, Jeon K, Choi KA, Kwon OJ, et al. The role of endoscopic surgery for completely obstructive endobronchial benign tumor. Korean J Intern Med 2006;21:15-9   DOI   ScienceOn
6 Arrigoni MG, Woolner LB, Bernatz PE, Miller WE, Fontana RS. Benign tumors of the lung: a ten-year surgical experience. J Thorac Cardiovasc Surg 1970; 60:589-99
7 Foroughi E. Leiomyoma of the trachea. Dis Chest 1962;42:230-2   DOI
8 Hague WM, Abdulwahid NA, Jacobs HS, Craft I. Use of LHRH analogue to obtain reversible castration in a patient with benign metastasizing leiomyoma. Br J Obstet Gynaecol 1986;93:455-60   DOI
9 Ayabe H, Tsuji H, Tagawa Y, Tomita M, Tsuda N, Chen J. Endobronchial Leiomyoma: report of a case treated by bronchoplasty and a review of the literature. Surg Today 1995;25:1057-60   DOI   ScienceOn
10 Steiner PE. Metastasizing fibroleiomyoma of the uterus: report of a case and review of the literature. Am J Pathol 1939;15:89-109
11 Yamada H, Katoh O, Yamaguchi T, Natsuaki M, Itoh T. Intrabronchial leiomyoma treated by localized resection via bronchotomy and bronchoplasty. Chest 1987;91:283-5   DOI
12 Banner AS, Carrington CB, Emory WB, Kittle F, Leonard G, Ringus J, et al. Efficacy of oophorectomy in lymphangioleiomyomatosis and benign metastasizing leiomyoma. N Engl J Med 1981;305:204-9   DOI   ScienceOn
13 Park SY, Lim EJ, Jang JS, Kim CH, Jee HK, Cho SJ, et al. Benign metastasizing pulmonary leiomyoma with hemoptysis. Tuberc Respir Dis 2006;60:92-6.   DOI   ScienceOn
14 Yellin A, Rosenman Y, Lieberman Y. Review of smooth muscle tumours of the lower respiratory tract. Br J Dis Chest 1984;78:337-51   DOI   ScienceOn
15 Kayser K, Zink S, Schneider T, Dienemann H, Andre S, Kaltner H, et al. Benign metastasizing leiomyoma of the uterus: documentation of clinical, immunohistochemical and lectin-histochemical data of ten cases. Virchows Arch 2000;437:284-92   DOI   ScienceOn