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양성 전이성 폐 평활근종 1예

A Case of Benign Metastasizing Pulmonary Leiomyoma

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2005, v.58 no.6, pp.614-618
강신애 (국민건강보험공단)
기정혜 (국민건강보험공단 일산병원)
최상인 (국민건강보험공단)
김연아 (국민건강보험공단)
김정주 (국민건강보험공단)
양동규 (국민건강보험공단)
강정한 (국민건강보험공단)
홍용국 (국민건강보험공단)
이선민 (국민건강보험공단)
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초록

저자들은 자궁근종으로 자궁적출술을 시행받은 과거력이 있는 35세 여자환자가 우연히 발견된 폐의 다발성 결절을 주소로 내원한 후, 폐 생검을 통하여 양성 전이성 폐 평활근종을 진단받고, 이후 개흉술을 통한 전 결절 제거술을 성공적으로 시행 받은 드문 1 예를 경험하였고, 이는 국내에서는 처음 시도된 바이기에 문헌고찰과 함께 보고하는 바이다.

keywords
Benign metastasizing pulmonary leiomyoma, Uterine leiomyoma, Wedge resection, Benign metastasizing pulmonary leiomyoma, Uterine leiomyoma, Wedge resection

Abstract

A benign metastasizing pulmonary leiomyoma (BMPL) is a rare disease that usually occurs in women with a prior or coincident history of uterine leiomyoma. Although leiomyoma is histologically benign, it has the potential to metastasize to a distant site such as the lung. A 35 year old woman who had undergone a hysterectomy due to uterine leiomyoma 5 years prior was admitted for an investigation of multiple pulmonary nodules on a routine chest roentgenogram. An open lung biopsy was taken to make a pathological diagnosis. The microscopic finding of the nodules was leiomyoma and was similar to those of the uterine leiomyoma that had been resected 5 years ago. The woman underwent wedge resections of all pulmonary nodules. This is the first case of BMPL in Korea, which was treated with wedge resections of all multiple pulmonary nodules. (Tuberc Respir Dis 2005; 58: 614-618)

keywords
Benign metastasizing pulmonary leiomyoma, Uterine leiomyoma, Wedge resection, Benign metastasizing pulmonary leiomyoma, Uterine leiomyoma, Wedge resection

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Tuberculosis & Respiratory Diseases