Livieratos Speros, Fatakhov Eddie, Ammar Ali, Dillard Thomas, Davis Bruce
Georgia Regents University, Augusta, GA, USA.
UCLA-Kern Medical Center, Bakersfield, CA, USA.
J Investig Med High Impact Case Rep. 2015 Apr 22;3(2):2324709615584000. doi: 10.1177/2324709615584000. eCollection 2015 Apr-Jun.
An otherwise healthy 55-year-old female, nonsmoker, was seen in pulmonary consultation for progressively worsening shortness of breath. She had undergone a complete hysterectomy 7 years prior for bleeding leiomyomas. On presentation, her initial chest X-ray showed a large right-sided pleural effusion with multiple pulmonary nodules. Two thoracenteses failed to reveal any cytologic abnormalities. Bronchoscopy revealed smooth, round, endobronchial lesions. Histologic examination showed features consistent with leiomyosarcoma. We present a rare case of a patient that initially had possible leiomyomas of the uterus surgically removed and years later presented with bronchopulmonary leiomyosarcoma.
一位55岁的健康非吸烟女性因进行性加重的气短前来肺科会诊。她7年前因子宫肌瘤出血接受了全子宫切除术。就诊时，她最初的胸部X光显示右侧大量胸腔积液伴多个肺结节。两次胸腔穿刺均未发现任何细胞学异常。支气管镜检查发现光滑、圆形的支气管内病变。组织学检查显示符合平滑肌肉瘤的特征。我们报告了一例罕见病例，该患者最初手术切除了可能的子宫平滑肌瘤，数年后出现支气管肺平滑肌肉瘤。
