Discussion
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 uterine leiomyomas. The lungs are the most common site of metastatic involvement. Lesions are often incidentally discovered and have an indolent clinical course with patient mortality resulting from an unrelated disease process.
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/or hilar lymphadenopathy is rare.
Benign metastasizing leiomyoma should be considered as a possibility in any asymptomatic patient presenting 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
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lung, neoplasm, metastasis,