Jolissaint Joshua S, Kilbourne Sarah K, LaFortune Kristen, Patel Manojkumar, Lau Christine L
University of Virginia School of Medicine, University of Virginia Health System, 1215 Lee Street, Charlottesville, VA, 22903, USA.
University of Virginia, Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Virginia Health System, 1215 Lee Street, Charlottesville, VA, 22903, USA.
Respir Med Case Rep. 2015 Sep 21;16:122-4. doi: 10.1016/j.rmcr.2015.09.008. eCollection 2015.
Benign metastasizing leiomyomatosis (BML) is a rare cause of pulmonary lesions found in reproductive age women who have undergone a hysterectomy for uterine leiomyoma. Given the relative rarity of the disease, the management of these lesions varies from surgical (oopherectomy) or medical antiestrogen hormonal therapy to clinical observation and survelliance. The disease generally presents asymptomatically with multiple, well-defined pulmonary nodules discovered incidentally on imaging. We report an atypical presentation of a 46-year-old woman with incidentally found bilateral pulmonary cavitating nodules and cysts, concerning for lymphangioleiomyomatosis (LAM), who was ultimately diagnosed with BML.
良性转移性平滑肌瘤病（BML）是在因子宫平滑肌瘤接受子宫切除术的育龄女性中发现的肺部病变的罕见病因。鉴于该疾病相对罕见，这些病变的管理方法各不相同，从手术（卵巢切除术）或药物抗雌激素激素治疗到临床观察和监测。该疾病通常无症状，在影像学检查中偶然发现多个边界清晰的肺结节。我们报告了一名46岁女性的非典型表现，她偶然发现双侧肺有空洞性结节和囊肿，疑似淋巴管平滑肌瘤病（LAM），最终被诊断为BML。
