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폐에 발생한 낭성 고형성 종양과 유사한 상피 봉입체를 가지는 양성 전이성 평활근종 1례

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Author(s)
황일선금동윤정혜라권선영최미선강유나김상표이상숙권건영
Keimyung Author(s)
Hwang, Il SeonJung, Hye RaKwon, Sun YoungChoe, Mi SunKang, Yu NaKim, Sang PyoLee, Sang SookKwon, Kun YoungKeum, Dong Yoon
Department
Dept. of Pathology (병리학)
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
Keimyung Medical Journal
Issued Date
2009
Volume
28
Issue
2
Keyword
Benign metastasizing leiomyomaLung
Abstract
Benign metastasizing leiomyoma is a rare neoplasm, generally in women who have undergone hysterectomy for uterine leiomyoma. It is usually detected as incidental pulmonary lesion. A 40-year-old woman presented incidental mass in the lung. There was a solitary nodule in left lower lobe. She had a history of myomectomy for uterine leiomyoma 13 years before. Wedge resection was performed for diagnosis and treatment, and the mass consisted solid and
cystic portion without hemorrhage or necrosis. On histologic examination, solid tumor portion showed sheets like pattern of spindle cells with cigar-like nuclei and occasional nuclear inclusions. No cellular atypia or mitosis was identified. Cystic portion showed abundant epithelial inclusions which were consisted of cuboidal or columnar epithelium. Spindle cells of the tumor were positive for SMA and epithelial cells of inclusion were positive for cytokeratin and TTF-1 on immunohistochemical staining. Benign metastasizing leiomyoma with many large epithelial inclusions may be similar to cystic and/or solid lesion of lung such as lymphangioleiomyomatosis, synovial sarcoma, pulmonary blastoma, pulmonary hamartoma or metastatic carcinoma with cystic change. Because benign metastasizing leiomymoa has better prognosis rather than other cystic and/or solid lesion of the lung, exact diagnosis should be required for appropriate treatment.
Alternative Title
Benign Metastasizing Leiomyoma with Cyst-like Epithelial Inclusion; Resembling Cystic and Solid Mass in Lung - A Case Report
Keimyung Author(s)(Kor)
황일선
정혜라
권선영
최미선
강유나
김상표
이상숙
권건영
금동윤
Publisher
Keimyung University School of Medicine
Citation
황일선 et al. (2009). 폐에 발생한 낭성 고형성 종양과 유사한 상피 봉입체를 가지는 양성 전이성 평활근종 1례. Keimyung Medical Journal, 28(2), 330–336.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15464
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2009
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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