Locally relapsed and metastatic uterine leiomyoma: A case report

<p>Abstract</p> <p>Introduction</p> <p>Benign metastasising leiomyoma refers to a type of lesion characterised by leiomyomatous alterations without any indication of malignancy. It presents as either a singular nodule or multiple nodules of proliferating smooth muscle c...

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Main Authors: Londero Ambrogio P, Perego Patrizia, Mangioni Costantino, Lellé Ralph J, Londero Franco, Marchesoni Diego
Format: Article
Language:English
Published: BMC 2008-09-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/2/1/308
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author Londero Ambrogio P
Perego Patrizia
Mangioni Costantino
Lellé Ralph J
Londero Franco
Marchesoni Diego
author_facet Londero Ambrogio P
Perego Patrizia
Mangioni Costantino
Lellé Ralph J
Londero Franco
Marchesoni Diego
author_sort Londero Ambrogio P
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Benign metastasising leiomyoma refers to a type of lesion characterised by leiomyomatous alterations without any indication of malignancy. It presents as either a singular nodule or multiple nodules of proliferating smooth muscle cells and is generally found in the lungs of women who have undergone a hysterectomy. The purpose of this case report is to contribute to the knowledge of this rare disease by presenting evidence and experience of a patient case. In particular, this report seeks to investigate the therapeutic approaches in order to understand whether a standard of care can be prescribed and whether the use of prophylaxis therapy with progesterone as a follow-up to surgery serves as a reasonable treatment in certain cases diagnosed as benign metastasising leiomyoma.</p> <p>Case presentation</p> <p>We present the case of a 52-year-old Caucasian woman who developed a pelvic relapse and a pulmonary localisation of benign metastasising leiomyoma following a hysterectomy for myomatous uterus.</p> <p>Conclusion</p> <p>Our literature review revealed a single case of the use of chemoprophylaxis as treatment of a benign metastasising leiomyoma. The role of chemoprophylaxis in preventing future recurrences remains unclear. The use of progesterone as an adjuvant therapy for benign metastasising leiomyoma could simply be palliative, with associated psychological benefits, or it could be of therapeutic significance.</p>
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spelling doaj.art-c34cc8da861944d6997935a944e924dd2022-12-21T23:46:35ZengBMCJournal of Medical Case Reports1752-19472008-09-012130810.1186/1752-1947-2-308Locally relapsed and metastatic uterine leiomyoma: A case reportLondero Ambrogio PPerego PatriziaMangioni CostantinoLellé Ralph JLondero FrancoMarchesoni Diego<p>Abstract</p> <p>Introduction</p> <p>Benign metastasising leiomyoma refers to a type of lesion characterised by leiomyomatous alterations without any indication of malignancy. It presents as either a singular nodule or multiple nodules of proliferating smooth muscle cells and is generally found in the lungs of women who have undergone a hysterectomy. The purpose of this case report is to contribute to the knowledge of this rare disease by presenting evidence and experience of a patient case. In particular, this report seeks to investigate the therapeutic approaches in order to understand whether a standard of care can be prescribed and whether the use of prophylaxis therapy with progesterone as a follow-up to surgery serves as a reasonable treatment in certain cases diagnosed as benign metastasising leiomyoma.</p> <p>Case presentation</p> <p>We present the case of a 52-year-old Caucasian woman who developed a pelvic relapse and a pulmonary localisation of benign metastasising leiomyoma following a hysterectomy for myomatous uterus.</p> <p>Conclusion</p> <p>Our literature review revealed a single case of the use of chemoprophylaxis as treatment of a benign metastasising leiomyoma. The role of chemoprophylaxis in preventing future recurrences remains unclear. The use of progesterone as an adjuvant therapy for benign metastasising leiomyoma could simply be palliative, with associated psychological benefits, or it could be of therapeutic significance.</p>http://www.jmedicalcasereports.com/content/2/1/308
spellingShingle Londero Ambrogio P
Perego Patrizia
Mangioni Costantino
Lellé Ralph J
Londero Franco
Marchesoni Diego
Locally relapsed and metastatic uterine leiomyoma: A case report
Journal of Medical Case Reports
title Locally relapsed and metastatic uterine leiomyoma: A case report
title_full Locally relapsed and metastatic uterine leiomyoma: A case report
title_fullStr Locally relapsed and metastatic uterine leiomyoma: A case report
title_full_unstemmed Locally relapsed and metastatic uterine leiomyoma: A case report
title_short Locally relapsed and metastatic uterine leiomyoma: A case report
title_sort locally relapsed and metastatic uterine leiomyoma a case report
url http://www.jmedicalcasereports.com/content/2/1/308
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AT lelleralphj locallyrelapsedandmetastaticuterineleiomyomaacasereport
AT londerofranco locallyrelapsedandmetastaticuterineleiomyomaacasereport
AT marchesonidiego locallyrelapsedandmetastaticuterineleiomyomaacasereport