Benign metastasising leiomyoma: a rare but possible cause of bilateral pulmonary nodules in Chinese patients

We report three cases of benign metastasising leiomyoma, which is a rare cause of multiple lung nodules, in three Hong Kong Chinese females. One patient presented with pleuritic chest pain, another was asymptomatic, while the last presented with haemoptysis. All three patients had previously undergo...

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Published inHong Kong medical journal = Xianggang yi xue za zhi Vol. 11; no. 4; pp. 303 - 306
Main Authors Chan, J W M, Law, W L, Cheung, S O Y, Lee, M P, Ng, C K, Lee, S, Ko, K M, Ma, C C, Liu, J Y S, Chan, T M, Mok, T Y W
Format Journal Article
LanguageEnglish
Chinese
Published China Hong Kong Academy of Medicine 01.08.2005
Subjects
Adult
Chest Pain - etiology
Diagnosis, Differential
Female
Fibroids
Hong Kong
Humans
Leiomyoma - complications
Leiomyoma - pathology
Leiomyoma - surgery
Lung - pathology
Lung Neoplasms - secondary
Middle Aged
Tomography, X-Ray
Uterine cancer
Uterine Neoplasms - complications
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
Hong Kong
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Summary:We report three cases of benign metastasising leiomyoma, which is a rare cause of multiple lung nodules, in three Hong Kong Chinese females. One patient presented with pleuritic chest pain, another was asymptomatic, while the last presented with haemoptysis. All three patients had previously undergone surgical resection of uterine leiomyomas. Multiple lung nodules mimicking lung metastases were demonstrated on chest radiographs, and all three diagnoses were obtained from lung biopsies. Hormonal therapy was given to two patients with variable responses. To the best of our knowledge, this is the first report of benign metastasising leiomyoma in Hong Kong Chinese population. It highlights the importance of considering this rare and benign disease in premenopausal females presenting with multiple lung nodules.
Bibliography:ObjectType-Case Study-2
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ISSN:1024-2708
2226-8707