Benign metastasizing leiomyoma of the lung

Benign leiomyomas of the uterus are uncommonly found in association with benign smooth muscle tumors beyond the confines of the uterus. Benign metastasizing leiomyoma (BML) is a rare disease in which the lung is described to be the most afflicted extrauterine organ. We present a brief review of the...

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Veröffentlicht in:World journal of surgical oncology 2013-10, Vol.11 (1), p.279-279, Article 279
Hauptverfasser: Ki, Eun Young, Hwang, Seon Jeong, Lee, Keun Ho, Park, Jong Sup, Hur, Soo Young
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container_title World journal of surgical oncology
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creator Ki, Eun Young
Hwang, Seon Jeong
Lee, Keun Ho
Park, Jong Sup
Hur, Soo Young
description Benign leiomyomas of the uterus are uncommonly found in association with benign smooth muscle tumors beyond the confines of the uterus. Benign metastasizing leiomyoma (BML) is a rare disease in which the lung is described to be the most afflicted extrauterine organ. We present a brief review of the literature, along with case reports for four patients who were followed up after resection of a pulmonary lesion or after pathological confirmation by biopsy. The clinical course of BML varies from chronic asymptomatic appearance to rapid progression, leading to respiratory failure and death. Our BML patients did not complain of pulmonary symptoms, such as cough, dyspnea, or chest tightness. Pathology revealed benign leiomyomas with no atypia and mitotic activity
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Benign metastasizing leiomyoma (BML) is a rare disease in which the lung is described to be the most afflicted extrauterine organ. We present a brief review of the literature, along with case reports for four patients who were followed up after resection of a pulmonary lesion or after pathological confirmation by biopsy. The clinical course of BML varies from chronic asymptomatic appearance to rapid progression, leading to respiratory failure and death. Our BML patients did not complain of pulmonary symptoms, such as cough, dyspnea, or chest tightness. Pathology revealed benign leiomyomas with no atypia and mitotic activity &lt;5 per 10 high-power field. Immunohistochemical staining was positive for actin and desmin. A standard treatment for BML has not yet been established. Because of the hormone-sensitive characteristics of BML, treatments are based on hormonal manipulation along with either surgical or medical oophorectomy. Benign metastasizing leiomyoma can be observed in postmenopausal women. We observed four patients who did not receive adjuvant hormonal therapy because they were postmenopausal or perimenopausal. All patients are still healthy and show no evidence of recurrence or progression of the disease.</description><identifier>ISSN: 1477-7819</identifier><identifier>EISSN: 1477-7819</identifier><identifier>DOI: 10.1186/1477-7819-11-279</identifier><identifier>PMID: 24134076</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Care and treatment ; Case Report ; Case studies ; Development and progression ; Diagnosis ; Female ; Humans ; Immunoenzyme Techniques ; Immunohistochemistry ; Leiomyoma ; Leiomyoma - pathology ; Leiomyoma - surgery ; Lung diseases ; Lung Neoplasms - secondary ; Lung Neoplasms - surgery ; Middle Aged ; Muscle proteins ; Patient outcomes ; Postmenopausal women ; Prognosis ; Risk factors ; Tomography, X-Ray Computed ; Uterine Neoplasms - pathology ; Uterine Neoplasms - surgery</subject><ispartof>World journal of surgical oncology, 2013-10, Vol.11 (1), p.279-279, Article 279</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Ki et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Ki et al.; licensee BioMed Central Ltd. 2013 Ki et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b648t-b4139bbebe8da82276cec974bb2b578007fe4989d788814b8805702e7cd79173</citedby><cites>FETCH-LOGICAL-b648t-b4139bbebe8da82276cec974bb2b578007fe4989d788814b8805702e7cd79173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842688/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842688/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24134076$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ki, Eun Young</creatorcontrib><creatorcontrib>Hwang, Seon Jeong</creatorcontrib><creatorcontrib>Lee, Keun Ho</creatorcontrib><creatorcontrib>Park, Jong Sup</creatorcontrib><creatorcontrib>Hur, Soo Young</creatorcontrib><title>Benign metastasizing leiomyoma of the lung</title><title>World journal of surgical oncology</title><addtitle>World J Surg Oncol</addtitle><description>Benign leiomyomas of the uterus are uncommonly found in association with benign smooth muscle tumors beyond the confines of the uterus. Benign metastasizing leiomyoma (BML) is a rare disease in which the lung is described to be the most afflicted extrauterine organ. We present a brief review of the literature, along with case reports for four patients who were followed up after resection of a pulmonary lesion or after pathological confirmation by biopsy. The clinical course of BML varies from chronic asymptomatic appearance to rapid progression, leading to respiratory failure and death. Our BML patients did not complain of pulmonary symptoms, such as cough, dyspnea, or chest tightness. Pathology revealed benign leiomyomas with no atypia and mitotic activity &lt;5 per 10 high-power field. Immunohistochemical staining was positive for actin and desmin. A standard treatment for BML has not yet been established. Because of the hormone-sensitive characteristics of BML, treatments are based on hormonal manipulation along with either surgical or medical oophorectomy. Benign metastasizing leiomyoma can be observed in postmenopausal women. We observed four patients who did not receive adjuvant hormonal therapy because they were postmenopausal or perimenopausal. 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Benign metastasizing leiomyoma (BML) is a rare disease in which the lung is described to be the most afflicted extrauterine organ. We present a brief review of the literature, along with case reports for four patients who were followed up after resection of a pulmonary lesion or after pathological confirmation by biopsy. The clinical course of BML varies from chronic asymptomatic appearance to rapid progression, leading to respiratory failure and death. Our BML patients did not complain of pulmonary symptoms, such as cough, dyspnea, or chest tightness. Pathology revealed benign leiomyomas with no atypia and mitotic activity &lt;5 per 10 high-power field. Immunohistochemical staining was positive for actin and desmin. A standard treatment for BML has not yet been established. Because of the hormone-sensitive characteristics of BML, treatments are based on hormonal manipulation along with either surgical or medical oophorectomy. Benign metastasizing leiomyoma can be observed in postmenopausal women. We observed four patients who did not receive adjuvant hormonal therapy because they were postmenopausal or perimenopausal. All patients are still healthy and show no evidence of recurrence or progression of the disease.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24134076</pmid><doi>10.1186/1477-7819-11-279</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Care and treatment
Case Report
Case studies
Development and progression
Diagnosis
Female
Humans
Immunoenzyme Techniques
Immunohistochemistry
Leiomyoma
Leiomyoma - pathology
Leiomyoma - surgery
Lung diseases
Lung Neoplasms - secondary
Lung Neoplasms - surgery
Middle Aged
Muscle proteins
Patient outcomes
Postmenopausal women
Prognosis
Risk factors
Tomography, X-Ray Computed
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
title Benign metastasizing leiomyoma of the lung
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