Primary Endobronchial Leiomyoma Combined with Uterine Leiomyoma.

Shim, Hyun Jeong; Lim, Jung Hwan; Lee, Seok; Kim, Dae Hyun; Park, Kang Jin; Lee, Se Ryeon; Jeong, Jong Pil; Son, Jun Gwang; Kim, Soo Ok; Oh, In Jae; Kim, Kyu Sik; Kim, Yu Il; Lim, Sung Chul; Kim, Young Chul; Kim, Seok Mo; Na, Kook Joo

doi:2006.61.5.490

Tuberc Respir Dis > Volume 61(5); 2006 > Article

Case Report

Tuberculosis and Respiratory Diseases 2006;61(5):490-495.
DOI: https://doi.org/10.4046/trd.2006.61.5.490 Published online November 1, 2006.

Primary Endobronchial Leiomyoma Combined with Uterine Leiomyoma.

Hyun Jeong Shim, Jung Hwan Lim, Seok Lee, Dae Hyun Kim, Kang Jin Park, Se Ryeon Lee, Jong Pil Jeong, Jun Gwang Son, Soo Ok Kim, In Jae Oh, Kyu Sik Kim, Yu Il Kim, Sung Chul Lim, Young Chul Kim, Seok Mo Kim, Kook Joo Na

¹Department of Internal medicine, School of Medicine, Chonnam National University, Gwangju, Korea. cyberkks@chonnam.ac.kr
²Department of Obstetrics and Gynecology, School of Medicine, Chonnam National University, Gwangju, Korea.
³Department of Thoracic and Cardiovascular Surgery, School of Medicine, Chonnam National University, Gwangju, Korea.

Abstract

Leiomyoma of the bronchus is a very rare benign tumor of the lung. Most endobronchial leiomyomas occur as secondary foci of primary uterine leiomyoma. We herein report a case with endobronchial tumor that had a different pathology from a primary resected uterine leiomyoma and was therefor considered a primary endobronchial leiomyoma. A 51-year-old woman with a history of uterine myoma presented with productive cough and fever. Bronchoscopy revealed a lightly yellow colored mass lesion that totally obstructed the orifice of the left lower lobe of the lung. The diagnosis of leiomyoma was made by histological examination of the obtained specimen. We considered the possibility of a benign metastasizing pulmonary leiomyoma. For treatment and differential diagnosis, a left lower lobe lobectomy of the lung and total hysterectomy with bilateral salphingooopherectomy were performed. The differences between lung and uterine lesions were confirmed by morphologic finding and immunohistochemical staining. The pathological diagnosis was primary endobronchial leiomyoma combined with uterine myoma.

Key Words: Primary endobronchial leiomyoma, Uterine leiomyoma