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Cases J. 2009 Sep 8;2:8673. doi: 10.1186/1757-1626-0002-0000008673.

Right middle lobectomy for a primary pulmonary leiomyoma: a case report.

Author information

1
Rush University Medical Center - University Thoracic Surgeons, 1725 W. Harrison St, Suite 774, Chicago, IL 60612, USA. Michael_Vercillo@Rush.edu

Abstract

INTRODUCTION:

Primary leiomyoma of the lung is a rare benign tumor that usually presents as a solitary lesion predominantly in young females. Fewer than 100 cases have been reported. Common symptoms include fever, chronic cough, hemoptysis, chest pain, shortness of breath, and pneumonias.

CASE PRESENTATION:

A 34-year-old, non-smoker female who presented with recurrent pneumonias. She was found to have a primary leiomyoma of the right middle lobe. This was treated by right middle lobectomy. 6-month follow up showed patient doing well without evidence of residual disease on computerized tomography.

CONCLUSION:

Primary pulmonary leiomyoma is a rare tumor distinct from benign metastasizing leiomyoma. Histologic features include absence of mitotic count, low cellularity, lack of cytologic atypia and pleomorphism. Treatment is by conservative surgical resection and carries a favorable prognosis.

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