The Annals of thoracic surgery. 2009 Jan 23. pii: S0003-4975(08)01362-3. doi: 10.1016/j.athoracsur.2008.06.052 |
Consequences of a wait-and-see strategy for benign metastasizing leiomyomatosis of the lung. |
Hoetzenecker K1, Ankersmit HJ, Aigner C, Lichtenauer M, Kreuzer S, Hacker S, Hoetzenecker W, Lang G, Klepetko W |
Abstract Pulmonary benign metastasizing leiomyomatosis (BML) is a rare smooth-muscle cell disorder of the lung. Most BML lesions stay constant in size for a long time. The prevailing treatment option is primary excision of the nodules or if unresectable, long-time hormone therapy. Herein, we present a case of BML in which a wait-and-see strategy after diagnosis was decided. Fourteen years later a routine chest roentgenogram revealed multiple bi-lobar BML lesions with a giant cyst filling the whole left lung cavity. We conclude that a wait-and-see procedure for BML is feasible, but primary resection of the BML tumor masses is preferable to avoid complications as described in our case. |
Publikations ID: 19161793 Quelle: öffnen |