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伴有自发性气胸的肺良性转移性平滑肌瘤。

Benign metastasizing leiomyoma of the lung with spontaneous pneumothorax.

作者信息

Okabe Ryo, Shoji Tsuyoshi, Huang Cheng-Long

机构信息

Division of Thoracic Surgery, Matsue Red Cross Hospital, Matsue, Japan.

Department of Thoracic Surgery, Kitano Hospital, Osaka, Japan.

出版信息

Thorac Cardiovasc Surg Rep. 2013 Dec;2(1):26-8. doi: 10.1055/s-0033-1345266. Epub 2013 Apr 25.

DOI:10.1055/s-0033-1345266
PMID:25360407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4176076/
Abstract

A 47-year-old woman was admitted with recurrent pneumothorax. Preoperative chest computed tomography (CT) showed multiple lung nodules and cysts bilaterally. She had undergone enucleatic myomectomy 12 years earlier. Video-associated thoracoscopic biopsy was performed. Histopathologically, there were bulla-like dilated cystic changes, the walls of which showed spindle cell proliferation, causing pneumothorax. Hormone therapy was started after benign metastasizing leiomyoma resection; pneumothorax has not recurred in 7 months. Multiple residual lung nodules have decreased or disappeared on CT.

摘要

一名47岁女性因复发性气胸入院。术前胸部计算机断层扫描（CT）显示双侧有多个肺结节和囊肿。她12年前接受过子宫肌瘤摘除术。进行了电视辅助胸腔镜活检。组织病理学检查显示有大疱样扩张性囊性改变，其壁显示梭形细胞增殖，导致气胸。在良性转移性平滑肌瘤切除术后开始激素治疗；7个月来气胸未复发。CT显示多个残留肺结节已减少或消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/4176076/812764ad9574/10-1055-s-0033-1345266-i130012-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/4176076/bf00bb3a8708/10-1055-s-0033-1345266-i130012-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/4176076/986246cd98f7/10-1055-s-0033-1345266-i130012-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/4176076/0143bac8c7d5/10-1055-s-0033-1345266-i130012-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/4176076/812764ad9574/10-1055-s-0033-1345266-i130012-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/4176076/bf00bb3a8708/10-1055-s-0033-1345266-i130012-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/4176076/986246cd98f7/10-1055-s-0033-1345266-i130012-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/4176076/0143bac8c7d5/10-1055-s-0033-1345266-i130012-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/4176076/812764ad9574/10-1055-s-0033-1345266-i130012-4.jpg

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