子宫切除术后患者的肺平滑肌瘤：诊断挑战
Pulmonary Leiomyoma in a Post-hysterectomy Patient: A Diagnostic Challenge.
摘要(中文译文)
肺平滑肌瘤是一种罕见的良性平滑肌肿瘤，可表现为孤立性肺部肿块并模拟恶性肿瘤。对于有子宫平滑肌瘤及子宫切除术病史的女性，必须考虑良性转移性平滑肌瘤（BML）的可能性。我们报告一例中年女性患者，既往因子宫平滑肌瘤行子宫切除术，本次表现为支气管内肿瘤，疑为恶性肿瘤。患者接受了肺叶切除术，组织病理学评估证实为肺平滑肌瘤。本病例凸显了此类病变所带来的诊断困境，并强调了组织病理学和免疫组织化学评估在确立诊断中的重要性。
Abstract
Pulmonary leiomyoma is a rare benign smooth muscle tumor that may present as a solitary lung mass and mimic malignancy. In women with a prior history of uterine leiomyoma and hysterectomy, the possibility of benign metastasizing leiomyoma (BML) must be considered. We report a case of a middle-aged woman with a prior hysterectomy for uterine leiomyoma who presented with an endobronchial tumor, suspicious for malignancy. The patient underwent lobectomy, and histopathological evaluation confirmed the leiomyoma of the lung. This case highlights the diagnostic dilemma posed by such lesions and underscores the importance of histopathological and immunohistochemical evaluation in establishing the diagnosis.
如何引用
AMA
Ajna S Kumar, Thangaswamy Dhanasekar, Irfan Ismail Ayub, Abdul Majeed Arshad. Pulmonary Leiomyoma in a Post-hysterectomy Patient: A Diagnostic Challenge.. Cureus. 2026; doi:10.7759/cureus.108876.
APA
Ajna S Kumar, Thangaswamy Dhanasekar, Irfan Ismail Ayub, Abdul Majeed Arshad (2026). Pulmonary Leiomyoma in a Post-hysterectomy Patient: A Diagnostic Challenge.. Cureus. https://doi.org/10.7759/cureus.108876
GB/T 7714
Ajna S Kumar, Thangaswamy Dhanasekar, Irfan Ismail Ayub, Abdul Majeed Arshad. Pulmonary Leiomyoma in a Post-hysterectomy Patient: A Diagnostic Challenge.[J]. Cureus, 2026 doi:10.7759/cureus.108876.
在 PubMed增强版 阅读全文
翻译全文 · AI 文献问答 · PDF 原文下载 · 引用导出