자궁근종을 동반한 원발성 기관지 평활근종

자궁근종의 병력을 가진 51세 여자가 기침, 가래, 발열을 주소로 내원하였다. 기관지내시경하 조직 생검상 평활근종이 발견되었고 환자의 자궁근종의 병력을 고려했을 때 양성 전이성 폐평활근종과의 감별이 필요하였다. 좌하엽 절제술과 동시에 자궁 절제술을 시행하였고 두 병변의 조직학적 소견을 비교해 보았을 때 폐의 병변은 자궁근종과는 무관한 원발성 기관지 평활근종으로 확진되었으며 이후 증상의 호전을 보여 현재 경과관찰 중이다. Leiomyoma of the bronchus is a very rare benign tumor of the lung. Most endobronchial leiomyomas occur as secondary foci of primary uterine leiomyoma. We herein report a case with endobronchial tumor that had a different pathology from a primary resected uterine leiomyoma and was therefor considered a primary endobronchial leiomyoma. A 51-year-old woman with a history of uterine myoma presented with productive cough and fever. Bronchoscopy revealed a lightly yellow colored mass lesion that totally obstructed the orifice of the left lower lobe of the lung. The diagnosis of leiomyoma was made by histological examination of the obtained specimen. We considered the possibility of a benign metastasizing pulmonary leiomyoma. For treatment and differential diagnosis, a left lower lobe lobectomy of the lung and total hysterectomy with bilateral salphingooopherectomy were performed. The differences between lung and uterine lesions were confirmed by morphologic finding and immunohistochemical staining. The pathological diagnosis was primary endobronchial leiomyoma combined with uterine myoma. (Tuberc Respir Dis 2006; 61: 490-495)