Ohno K, Kuwata K, Hashimoto J, Yamamoto S, Nishida Y, Sakaguchi T
Department of Surgery, Osaka Kosei-Nenkin Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 May;44(5):723-8.
A 45-year-old woman with multiple pulmonary leiomyomatous hamartoma was reported. Multiple round shadows were observed in the chest X-ray film of mass examination. Retrospectively chest X-ray films revealed an increase in size and number of pulmonary nodules in three years. Metastatic pulmonary tumors were suspected. Primary site was unclear. Calcified myoma uteri was recognized. The pathological diagnosis under diagnostic thoracotomy was multiple leiomyomatous hamartoma. After ten months of medical castration using superactive analogue of LHRH (buserelin) by intranasal spray, chest X-ray film showed a slight decrease in size of nodular shadows in the right middle lung field.
报道了一名45岁患有多发性肺平滑肌瘤性错构瘤的女性。在大规模体检的胸部X光片上观察到多个圆形阴影。回顾性分析胸部X光片发现,三年来肺部结节的大小和数量有所增加。怀疑为转移性肺肿瘤。原发部位不明。发现子宫肌瘤钙化。诊断性开胸手术的病理诊断为多发性平滑肌瘤性错构瘤。通过鼻内喷雾使用促性腺激素释放激素(LHRH)的超活性类似物(布舍瑞林)进行药物去势十个月后,胸部X光片显示右中肺野结节阴影大小略有减小。