Case Report: Benign Uterine Adenomyoma Metastasis in the Right Lung

Frontiers in Surgery

article

Xiaowei Zhang¹  Hongquan Jiang²  Bifei Huang¹  Hangping Wei³ 

[1] Department of Pathology, Affiliated Dongyang Hospital of Wenzhou Medical University;Department of Thoracic Surgery, Affiliated Dongyang Hospital of Wenzhou Medical University;Department of Medical Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University

关键词: uterine;    adenomyoma;    pulmonary;    metastasis;    benign;   

DOI  :  10.3389/fsurg.2022.851147

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Pulmonary metastasis of benign uterine leiomyoma and uterine endometriosis has been reported; however, pulmonary benign metastasizing uterine adenomyoma has not been reported. Herein, we report the first case of pulmonary benign metastasizing uterine adenomyoma. It is very important to differentiate from pulmonary primary synovial sarcoma; histopathology and immunohistochemistry are very helpful, molecular pathology can be used if necessary. Case Presentation A female patient was admitted to the hospital because of pulmonary nodules. Lung computed tomography (CT) showed a nodular high density shadow in the upper lobe of the right lung, with a clear boundary and a diameter of approximately 1.2 cm. A contrast CT scan showed obvious enhancement, and no obvious lobulation or burr was found. Video-assisted thoracoscopic resection of the tumor was performed. The upper lobe nodules were completely removed. Postoperative pathological report confirmed the lesion as metastatic benign adenomyoma of the right upper lung. Conclusion The lung is the most common organ for malignant tumor metastasis, and a few benign tumors can also develop pulmonary metastasis. Pulmonary benign metastasizing adenomyoma is extremely rare, and the prognosis is very good after surgical resection. When pulmonary CT shows a solid high-density shadow, we should consider the possibility of a metastatic benign tumor.

【 授权许可】

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