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肺部大肿块伴静脉曲张：良性转移平滑肌瘤的罕见表现。

Large pulmonary masses containing varicose veins: a rare presentation of benign metastasising leiomyomas.

机构信息

Department of Radiology, The Liverpool Heart and Chest Hospital, Liverpool, UK.

出版信息

Br J Radiol. 2010 Nov;83(995):e243-6. doi: 10.1259/bjr/49938718.

DOI:10.1259/bjr/49938718
PMID:20965897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3473723/
Abstract

A 48-year-old woman presented with cough and chest pain. A chest radiograph and CT scans showed bilateral lung masses containing massive venous varices. A core biopsy specimen revealed benign metastasising leiomyoma with strong expression of progesterone receptors. A review of her medical history revealed a hysterectomy 11 years earlier. The lung masses showed significant reduction in size after induction of artificial menopause, although the pulmonary varices persisted.

摘要

一位 48 岁女性因咳嗽和胸痛就诊。胸部 X 线和 CT 扫描显示双肺肿块内有大量静脉曲。核心活检标本显示良性转移性平滑肌瘤，孕激素受体表达强。回顾她的病史，发现 11 年前曾行子宫切除术。诱导人工绝经后，肺部肿块明显缩小，但肺静脉持续存在。

相似文献

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Large pulmonary masses containing varicose veins: a rare presentation of benign metastasising leiomyomas.肺部大肿块伴静脉曲张：良性转移平滑肌瘤的罕见表现。
Br J Radiol. 2010 Nov;83(995):e243-6. doi: 10.1259/bjr/49938718.
2
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Hong Kong Med J. 2005 Aug;11(4):303-6.
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[Benign metastatic leiomyoma of the lung].
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A rare case of pulmonary benign metastasising leiomyomatosis in a woman with a previous history of hysterectomy for uterine fibroids.一名曾因子宫肌瘤行子宫切除术的女性发生肺部良性转移性平滑肌瘤病的罕见病例。
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Benign metastasising leiomyoma: a progressive disease despite chemical and surgical castration.良性转移性平滑肌瘤：一种尽管进行了化学去势和手术去势仍呈进行性发展的疾病。
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引用本文的文献

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Pulmonary benign metastasizing leiomyoma presenting as small, diffuse nodules.表现为小的、弥漫性结节的肺良性转移性平滑肌瘤。
J Bras Pneumol. 2019 Jul 29;45(4):e20180318. doi: 10.1590/1806-3713/e20180318.

本文引用的文献

1
Benign metastasizing leiomyoma.
Lung. 2008 Jul-Aug;186(4):271-273. doi: 10.1007/s00408-008-9084-8. Epub 2008 Mar 21.
2
Thoracic exploration for the diagnosis of multiple pulmonary vein varices: case report.
Chin Med J (Engl). 2007 Nov 20;120(22):2053-5.
3
Benign abdominal and pulmonary metastasizing leiomyoma of the uterus.子宫良性腹部和肺转移性平滑肌瘤
Arch Gynecol Obstet. 2006 Aug;274(5):319-22. doi: 10.1007/s00404-006-0165-8. Epub 2006 Apr 29.
4
[Pulmonary varix inside a bulla].[肺大疱内的肺静脉曲张]
Arch Bronconeumol. 2006 Jan;42(1):39-41. doi: 10.1016/s1579-2129(06)60112-2.
5
Pulmonary benign metastasising leiomyomas presenting as fluid-containing masses on CT in a patient with two unrelated malignancies.
Br J Radiol. 2005 Jul;78(931):639-41. doi: 10.1259/bjr/33935946.
6
Benign metastasising leiomyoma: a rare cause of breathlessness following caesarean section.良性转移性平滑肌瘤：剖宫产术后呼吸困难的罕见原因。
Int J Obstet Anesth. 2001 Apr;10(2):142-5. doi: 10.1054/ijoa.2000.0733.
7
Echocardiographic diagnosis of pulmonary vein varix.肺静脉瘤样扩张的超声心动图诊断
Circ J. 2003 Sep;67(9):796-8. doi: 10.1253/circj.67.796.
8
Benign metastasizing leiomyoma: clinical, imaging, and pathologic correlation.良性转移性平滑肌瘤：临床、影像学及病理相关性
AJR Am J Roentgenol. 2001 Jun;176(6):1409-13. doi: 10.2214/ajr.176.6.1761409.
9
Haemoptysis associated with pulmonary varices: demonstration using computed tomographic angiography.与肺静脉曲张相关的咯血：计算机断层血管造影术的显示
Eur Respir J. 1998 Oct;12(4):989-92. doi: 10.1183/09031936.98.12040989.
10
Benign metastasizing leiomyoma in the lung.
Radiographics. 1998 May-Jun;18(3):779-82. doi: 10.1148/radiographics.18.3.9599398.