Key result
A 44-year-old female presenting with backache and multiple pulmonary nodules (largest 15 mm, SUVmax 1.92) was diagnosed with benign metastasizing leiomyoma via open wedge biopsy.
Case Report (n=1)
This case report highlights the rare presentation of pulmonary benign metastasizing leiomyoma in a 44-year-old woman.
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Requires histologic confirmation for pulmonary nodules in women with leiomyoma history; leaves open optimal management of benign metastasizing leiomyoma.
Benign metastasizing leiomyoma is typically seen in young premenopausal women after a mean period of 15 years following uterine leiomyoma or hysterectomy surgery. They are usually incidentally seen on chest x-rays and are nodular lesions that appear as bilateral nodules with a benign appearance and consist of smooth muscle proliferation. A 44-year-old female presented at her healthcare institution for backache for the last 9 months. Multiple nodules (largest 15 mm) scattered in both lungs and consistent with metastases were detected on computed tomography. The PET-CT results revealed multiple nodular densities with increased metabolic activity (SUVmax: 1.92) in both lungs, with the largest one measuring approximately 15 mm and located in the lower lobe superior segment of the right lung. A benign metastasizing leiomyoma was diagnosed with open wedge biopsy of the lung. We present this case due to its interesting clinical presentation and rarity and emphasize the pathogenesis.
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Ağaçkıran et al. (2014) conducted a case report in Pulmonary benign metastasizing leiomyoma (n=1). A 44-year-old female presenting with backache and multiple pulmonary nodules (largest 15 mm, SUVmax 1.92) was diagnosed with benign metastasizing leiomyoma via open wedge biopsy.
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