대한흉부영상의학회 Korean Society of Thoracic Radiology GuerBet

대한흉부영상의학회 Weekly Case 메뉴

Close

대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
Advanced Search..

Close

Weekly Chest CasesArchive of Old Cases

Case No : 1134 Date 2019-07-23

  • Courtesy of Ji Young Rho / CHA Bundang Medical Center, CHA University, Sungnam, Korea
  • Age/Sex 54 / F
  • Chief ComplaintIncidental radiologic abnormality, past history of hysterectomy (20 years ago)
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Pulmonary benign metastasizing leiomyoma
Radiologic Findings
Fig 1-3. Axial chest CT scans with mediastinal window setting show several well-defined and smoothly marginated nodules in RML and LLL basal segment
Brief Review
Benign metastasizing leiomyoma is a rare entity that usually affects women after hysterectomy for leiomyomas. Lesions are incidentally discovered and have an indolent clinical course with patient mortality from an unrelated disease process.
The lungs are the most common site of metastatic involvement.
Typical radiographic findings include well-circumscribed solitary or multiple pulmonary nodules ranging in size from a few millimeters to several centimeters in diameter scattered among normal interstitium. Mediastinal and hilar lymphadenopathy is rare.
Benign metastasizing leiomyoma should be considered in any asymptomatic patient presenting with multiple pulmonary nodules and a history of a leiomyomatous uterus.
Please refer to
Case 215, Case 394, Case 413, Case 667, Case 847, Case 952, Case 1080,
References
1. Abramson S, Gilkeson RC, Goldstein JD, Woodard PK, Eisenberg R, Abramson N. Benign metastasizing leiomyoma: clinical, imaging, and pathologic correlation. AJR 2001;176:1409-1413.
Keywords
lung, neoplasm, metastasis,

No. of Applicants : 74

▶ Correct Answer : 67/74,  90.5%
  • - Ishikawa Matto Central Hospital , Japan MANABU AKIMOTO
  • - The University of Kyoto Hospital , Japan TOMOAKI OTANI
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - ZIGONG TCM HOSPITAL OF CHINA , China Cao Cunyou
  • - Kinki University Faculty of Medicine, , Japan MITSURU MATSUKI
  • - Showa University Fujigaoka Hospital , Japan KYOKO NAGAI
  • - TWMU Medical Center East , Japan MASAFUMI KAIUME
  • - Mayo Clinic , United States AKITOSHI INOUE
  • - Affilitated Hospital of Jining Medical University , China HUA SHENG JIANG
  • - Chonbuk National University Hospital , Korea (South) MINGI SHIN
  • - CH de la Cote Basque , France PAUL ARDILOUZE
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Khoo Teck Puat Hospital , Singapore ASHISH CHAWLA
  • - NIMS, HYDERABAD , India BHASKAR K
  • - , Korea (South) CHOHEE KIM
  • - Asan Medical Center , Korea (South) EUNJI CHOI
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - Other , Korea (South) SEONGSU KANG
  • - DELTA CARE HOSPITAL, THANJAVUR, INDIA , India SIVARAJA SUBRAMANIAM
  • - Seoul National University Hospital , Korea (South) Ju Gang Nam
  • - istanbul , Turkey AYHAN YILMAZ
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - university of montreal , Canada Andrei Bogdan Gorgos I
  • - Kangwon National University Hospital , Korea (South) HAN SOL KANG
  • - Fujieda Municipal General Hospital , Japan HAYATO NOZAWA
  • - , Japan MASATOSHI HOTTA
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - Narayana Multispeciality Hospital Jaipur Rajasthan , India JAINENDRA JAIN
  • - , Korea (South) JAEHEUNG BAE
  • - Other , Korea (South) JUWON KIM
  • - Gifu University Hospital , Japan Yo Kaneko
  • - Seoul National University Hospital , Korea (South) JI HEE KANG
  • - Intermed Hospital , Mongolia KHULAN KHURELSUKH
  • - The University of Tokyo Hospital , Japan RYO KUROKAWA
  • - Chonbuk National University Hospital , Korea (South) YOUNGKWANG LEE
  • - Ajou University Hospital , Korea (South) DAYOUNG KIM
  • - CLINIQUE STE CLOTILDE , Reunion PATRICK MASCAREL
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey MERIC TUZUN
  • - Dae Jin Medical Center , Korea (South) JIYOUNG CHOI
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - Gyeongsang National University Hospital , Korea (South) KWON HWANWOONG
  • - , Japan NAOMI YUASA
  • - Ajou University Hospital , Korea (South) HYERIN KIM
  • - Seoul National University Hospital , Korea (South) SE WOO KIM
  • - Azienda Ospedaliera di Cremona , Italy Pietro Sergio
  • - Chonbuk National University Hospital , Korea (South) KUM JU CHAE
  • - Asan Medical Center , Korea (South) JIHOON KIM
  • - , Korea (South) JANG SEONG WON
  • - , Japan SHINYA SAHARA
  • - Fortis hospital , Mohali , India SHALEEN RANA
  • - Kizawa Memorial Hospital , Japan Shoji Okuda
  • - University of Tsukuba Hospital , Japan SODAI HOSHIAI
  • - Ajou University Hospital , Korea (South) SUBIN HEO
  • - Toranomon Hospital , Japan KAORU SUMIDA
  • - , India SUSHMITHA JAKKA
  • - Chonbuk National University Hospital , Korea (South) DONG HAN SHIN
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
  • - National Center for Global Health and Medicine , Japan HIROSHI TAKUMIDA
  • - Private sector , Greece VASILIOS TZILAS
  • - , Japan YUMI MAEHARA
  • - College of Medicine, CHA University , Korea (South) PARK JONG WON
  • - Hamamatsu University Hospital , Japan YUKI HAYASHI
  • - Diagnose.me (BV) / Royal Perth Hospital , Australia YURANGA WEERAKKODY
  • - Chonnam National University Hwasun Hospital , Korea (South) JONG EUN LEE
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
  • - Ajou University Hospital , Korea (South) YOO YOUNGJIN
  • - Jiangsu province hospital , China WANGJIAN ZHA
▶ Correct Answer as Differential Diagnosis : 1/74,  1.4%
  • - Eulji University Eulji hospital , Korea (South) Ka Young Chun
▶ Semi-Correct Answer : 4/74,  5.4%
  • - , Chile DANIEL FICA VACCARO
  • - Chonbuk National University Hospital , Korea (South) JUNGHWAN KIM
  • - Kurashiki Central Hospital , Japan HISATAKA ITO
  • - Korea University Anam Hospital , Korea (South) KYU-CHONG LEE
  • Top
  • Back

Each Case of This Site Supplied by the Members of KSTR.
Copyright of the Images is in the KSTR and Original Supplier.
Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

This website is optimized for IE 10 and above.