Chen Ying-Yi, Wu Seng-Tang, Hsu Hsian-Her, Chen Ya-Cheng, Lee Shih-Chun, Chang Hung, Huang Tsai-Wang
Division of Thoracic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Clin Imaging. 2014 May-Jun;38(3):330-2. doi: 10.1016/j.clinimag.2014.01.008. Epub 2014 Feb 7.
Pulmonary benign metastasizing leiomyoma (PBML) characterized by uterine leiomyoma in the lung is very rare. Here we report the case of a 55-year-old woman with a history of surgically resected multiple uterine leiomyomas who was histopathologically diagnosed with PBML associated with bilateral primary renal cell carcinoma (RCC). Clinicians should be aware of this unusual entity and consider pulmonary leiomyoma as a differential diagnosis in asymptomatic women with primary RCC and a history of hysterectomy for leiomyoma.
以肺部出现子宫平滑肌瘤为特征的肺良性转移性平滑肌瘤（PBML）非常罕见。在此，我们报告一例55岁女性病例，该患者有手术切除多个子宫平滑肌瘤的病史，经组织病理学诊断为与双侧原发性肾细胞癌（RCC）相关的PBML。临床医生应了解这种不寻常的情况，并将肺平滑肌瘤作为原发性RCC且有子宫平滑肌瘤子宫切除术病史的无症状女性的鉴别诊断。
