Benign Metastasizing Leiomyoma: A Rare Type of Lung Metastases—Two Case Reports and Review of the Literature

Benign metastasizing leiomyoma (BML) is a rare disease that usually occurs in women of reproductive age. They typically have history of uterine leiomyoma treated with hysterectomy. BML can metastasize to distant organs, with the lung being the most common organ. We report two patients who presented...

Full description

Saved in:
Bibliographic Details
Main Authors: Rokana Taftaf, Sandra Starnes, Jiang Wang, Ralph Shipley, Tariq Namad, Rana Khaled, Nagla Abdel Karim
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2014/842801
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832548513067565056
author Rokana Taftaf
Sandra Starnes
Jiang Wang
Ralph Shipley
Tariq Namad
Rana Khaled
Nagla Abdel Karim
author_facet Rokana Taftaf
Sandra Starnes
Jiang Wang
Ralph Shipley
Tariq Namad
Rana Khaled
Nagla Abdel Karim
author_sort Rokana Taftaf
collection DOAJ
description Benign metastasizing leiomyoma (BML) is a rare disease that usually occurs in women of reproductive age. They typically have history of uterine leiomyoma treated with hysterectomy. BML can metastasize to distant organs, with the lung being the most common organ. We report two patients who presented with benign metastasizing leiomyoma to the lung. Our first case was a fifty-two-year-old female who presented with multiple lung masses, with a past medical history of uterine leiomyoma who underwent hysterectomy 17 years ago. A CT-guided biopsy showed benign appearing spindle cells and pathology confirmed her diagnosis with additional positive estrogen/progesterone receptor stains. Our second case was a fifty-six-year-old female who presented with multiple cavitary pulmonary nodules. She subsequently underwent a video-assisted thoracoscopic surgery (VATS) with wedge resection of one of the nodules. Pathology confirmed the diagnosis based on morphology and immunohistochemical staining strongly positive for estrogen/progesterone receptors. Benign metastasizing leiomyoma is a rare condition which may affect women of reproductive age. This should be considered in the differential in patients who present with multiple pulmonary nodules, especially with a history of uterine leiomyoma. Additional stains, such as estrogen/progesterone receptors, may need to be done to confirm the diagnosis.
format Article
id doaj-art-fe75dfb843614490b092eba9f53a903c
institution Kabale University
issn 2090-6706
2090-6714
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Oncological Medicine
spelling doaj-art-fe75dfb843614490b092eba9f53a903c2025-02-03T06:13:55ZengWileyCase Reports in Oncological Medicine2090-67062090-67142014-01-01201410.1155/2014/842801842801Benign Metastasizing Leiomyoma: A Rare Type of Lung Metastases—Two Case Reports and Review of the LiteratureRokana Taftaf0Sandra Starnes1Jiang Wang2Ralph Shipley3Tariq Namad4Rana Khaled5Nagla Abdel Karim6Department of Medicine, Division of Hematology/Oncology, University of Cincinnati, Cincinnati, OH 45219, USADepartment of Surgery, Division of Thoracic Surgery, University of Cincinnati, Cincinnati, OH 45219, USADepartment of Pathology, University of Cincinnati, Cincinnati, OH 45219, USADepartment of Radiology, University of Cincinnati, Cincinnati, OH 45219, USADepartment of Medicine, Division of Hematology/Oncology, University of Cincinnati, Cincinnati, OH 45219, USADepartment of Medicine, Division of Hematology/Oncology, University of Cincinnati, Cincinnati, OH 45219, USADepartment of Medicine, Division of Hematology/Oncology, University of Cincinnati, Cincinnati, OH 45219, USABenign metastasizing leiomyoma (BML) is a rare disease that usually occurs in women of reproductive age. They typically have history of uterine leiomyoma treated with hysterectomy. BML can metastasize to distant organs, with the lung being the most common organ. We report two patients who presented with benign metastasizing leiomyoma to the lung. Our first case was a fifty-two-year-old female who presented with multiple lung masses, with a past medical history of uterine leiomyoma who underwent hysterectomy 17 years ago. A CT-guided biopsy showed benign appearing spindle cells and pathology confirmed her diagnosis with additional positive estrogen/progesterone receptor stains. Our second case was a fifty-six-year-old female who presented with multiple cavitary pulmonary nodules. She subsequently underwent a video-assisted thoracoscopic surgery (VATS) with wedge resection of one of the nodules. Pathology confirmed the diagnosis based on morphology and immunohistochemical staining strongly positive for estrogen/progesterone receptors. Benign metastasizing leiomyoma is a rare condition which may affect women of reproductive age. This should be considered in the differential in patients who present with multiple pulmonary nodules, especially with a history of uterine leiomyoma. Additional stains, such as estrogen/progesterone receptors, may need to be done to confirm the diagnosis.http://dx.doi.org/10.1155/2014/842801
spellingShingle Rokana Taftaf
Sandra Starnes
Jiang Wang
Ralph Shipley
Tariq Namad
Rana Khaled
Nagla Abdel Karim
Benign Metastasizing Leiomyoma: A Rare Type of Lung Metastases—Two Case Reports and Review of the Literature
Case Reports in Oncological Medicine
title Benign Metastasizing Leiomyoma: A Rare Type of Lung Metastases—Two Case Reports and Review of the Literature
title_full Benign Metastasizing Leiomyoma: A Rare Type of Lung Metastases—Two Case Reports and Review of the Literature
title_fullStr Benign Metastasizing Leiomyoma: A Rare Type of Lung Metastases—Two Case Reports and Review of the Literature
title_full_unstemmed Benign Metastasizing Leiomyoma: A Rare Type of Lung Metastases—Two Case Reports and Review of the Literature
title_short Benign Metastasizing Leiomyoma: A Rare Type of Lung Metastases—Two Case Reports and Review of the Literature
title_sort benign metastasizing leiomyoma a rare type of lung metastases two case reports and review of the literature
url http://dx.doi.org/10.1155/2014/842801
work_keys_str_mv AT rokanataftaf benignmetastasizingleiomyomaararetypeoflungmetastasestwocasereportsandreviewoftheliterature
AT sandrastarnes benignmetastasizingleiomyomaararetypeoflungmetastasestwocasereportsandreviewoftheliterature
AT jiangwang benignmetastasizingleiomyomaararetypeoflungmetastasestwocasereportsandreviewoftheliterature
AT ralphshipley benignmetastasizingleiomyomaararetypeoflungmetastasestwocasereportsandreviewoftheliterature
AT tariqnamad benignmetastasizingleiomyomaararetypeoflungmetastasestwocasereportsandreviewoftheliterature
AT ranakhaled benignmetastasizingleiomyomaararetypeoflungmetastasestwocasereportsandreviewoftheliterature
AT naglaabdelkarim benignmetastasizingleiomyomaararetypeoflungmetastasestwocasereportsandreviewoftheliterature