Incidental Benign Metastasizing Leiomyoma in a Patient with Bone Sarcoma: A Case Report

Autor: Oscar Villegas-Cabello, Zanndor Jacob del Real-Romo, Guillermo Peralta-Castillo, David Martínez-Sánchez, José Antonio Díaz-Elizondo, Carlos Alberto Montero-Cantú, Eduardo Flores-Villalba, Danae Reyes-Salas, Rene Palomo-Hoil
Rok vydání: 2014
Předmět:
Zdroj: Case Reports in Surgery
Case Reports in Surgery, Vol 2014 (2014)
ISSN: 2090-6919
2090-6900
DOI: 10.1155/2014/439061
Popis: Background. The benign metastasizing leiomyoma is an exceptionally rare entity; it presents with ectopic leiomyoma nodules with a benign pattern. Symptoms vary according to the anatomic location. The diagnosis is histopathological, usually in patients with history of hysterectomy.Case Presentation. A 36-year-old female with 2-month history of left knee pain was diagnosed with bone fibrosarcoma. A CT scan showed pulmonary nodules. The patient started neoadjuvant chemotherapy. Conservative surgery of pelvic limb was achieved. A new CT scan reported pulmonary nodules that remained in relation to the previous CT. A nodule resection by thoracotomy and TOB (transoperative biopsy) was performed. The final pathology report described benign proliferative lesions consistent with benign metastatic leiomyoma.Conclusions. Benign metastatic leiomyoma is a rare condition presenting with uterine and extrauterine nodules most commonly in the lung. The diagnosis is histopathological. The surgical procedure must be reserved for selected patients.
Databáze: OpenAIRE