Sawabata N, Iuchi K, Matsumura A, Sueki H, Atagi S, Tamiya H, Yamamoto M, Mori T
Division of Surgery, Toneyama National Hospital, Osaka, Japan.
Kyobu Geka. 1998 Dec;51(13):1140-3.
Case 1. A 50-year-old woman was referred to our hospital because of multiple bilateral small round lesion on chest radiography. She had undergone total hysterectomy for myoma uteri at the age of 33. She underwent thoracoscopic tumor excision at left lung. The lesion was proved benign. Right side lesions were laterly excised using thoracotomy. Case 2. A 49-year-old woman was referred to us because of two ovoid lesion at left lung area of chest radiography. She also had undergone total hysterectomy for myoma uteri at the age of 37. She underwent tumor extirpation using thoracotomy. All samples of two patients revealed, pathologically, lesions were consisted of benign spindle-like calls similar to those of myoma uteri. Therefore, we consider these lesions were pulmonary metastasis of myoma uteri. Myoma uteri has certain potential of metastasizing to the lung, in spite of benign disease.
病例1。一名50岁女性因胸部X线检查发现双侧多个小圆形病变而转诊至我院。她在33岁时因子宫肌瘤接受了全子宫切除术。她接受了左肺胸腔镜肿瘤切除术。病变被证实为良性。右侧病变后来通过开胸手术切除。病例2。一名49岁女性因胸部X线检查左肺区域有两个椭圆形病变而转诊至我院。她在37岁时也因子宫肌瘤接受了全子宫切除术。她接受了开胸肿瘤切除术。两名患者的所有样本经病理检查显示，病变由类似于子宫肌瘤的良性梭形细胞组成。因此，我们认为这些病变是子宫肌瘤的肺转移。尽管子宫肌瘤是良性疾病，但它有一定的转移至肺部的可能性。
