METASTASISING LEIOMYOMA- A CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 42
Abstract
PRESENTATION OF CASE Benign Metastasising Leiomyoma (BML) is defined as the benign proliferation of smooth muscle in organs such as lung or lymph node etc. in a patient with benign uterine smooth muscle tumour. BML is a rare condition. It is more prevalent in women of late childbearing age. The aetiology is unknown. But there are several theories explaining the pathophysiology.1 Two important theories are: (1) Metastasis from an existing leiomyoma or (2) Multicentric leiomyomatous growths rather than actual metastases. 1 Most of the patients with BML have a history of uterine leiomyoma and/ or myomectomy. Steiner was the first to describe this disease in detail in 1939.2,3 The most common site of metastasis is lung. Other important sites are paraaortic lymph nodes, abdominal lymph nodes, heart, breasts, liver, oesophagus, trachea, limb, striated muscles, skeletal muscle, skin, scars and central nervous system.2,4,5,6,7 BML shows positivity for both oestrogen and progesterone receptors.
Authors and Affiliations
Krishna Govindan, Sheela Kuzhiveli Mohammed Ali, Lekshmy Kausthubham Sudheendran
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