Nishida T, Inoue K, Yamamoto R, Takehara S, Kaji M
Second Department of Surgery, Osaka City University Medical School, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Feb;44(2):182-7.
A 51-year-old woman with bilateral multiple pulmonary metastases of uterine leiomyoma was reported. The patient had undergone a hysterectomy for uterine myoma in 1976. In 1981, routine chest roentgenograms showed three nodular lesions in the right lung with well-defined margins. The patient received no treatment because she was asymptomatic. In January 1993, she consulted a gynecologist because of acute lower abdominal pain and an abdominal mass, and bilateral pulmonary tumors were found. The retroperitoneal solid tumor was extirpated in the first operation, and histological findings showed that it was a benign leiomyoma. The pulmonary tumors, extirpated in the second operation, were benign leiomyoma, also. The clinical course and histological findings suggested that this was a case of benign metastasizing leiomyoma. This disease is rare, 21 case have been reported in Japan.
报告了一名51岁患有子宫平滑肌瘤双侧多发性肺转移的女性。该患者于1976年因子宫肌瘤接受了子宫切除术。1981年，常规胸部X线片显示右肺有三个边界清晰的结节状病变。由于患者无症状，未接受治疗。1993年1月，她因急性下腹痛和腹部肿块咨询了妇科医生，发现双侧肺部有肿瘤。在第一次手术中切除了腹膜后实性肿瘤，组织学检查结果显示为良性平滑肌瘤。在第二次手术中切除的肺部肿瘤也是良性平滑肌瘤。临床病程和组织学检查结果表明这是一例良性转移性平滑肌瘤病例。这种疾病很罕见，日本已报告21例。
