Primary endobronchial myxoid leiomyoma in a child: An unusual case report and review of literature

Primary leiomyomas are rare benign tumors of the lung and only 25 cases have been documented in children, most of which are endobronchial. Leiomyomas are benign smooth muscle neoplasms, usually diagnosed on morphological characteristics. However, immunohistochemistry plays a crucial role in the line...

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Main Authors: Ashutosh Awasthi, Suparna Dubey, Abha K Sabhikhi, Sabyasachi Bal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2016;volume=59;issue=1;spage=87;epage=89;aulast=Awasthi
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author Ashutosh Awasthi
Suparna Dubey
Abha K Sabhikhi
Sabyasachi Bal
author_facet Ashutosh Awasthi
Suparna Dubey
Abha K Sabhikhi
Sabyasachi Bal
author_sort Ashutosh Awasthi
collection DOAJ
description Primary leiomyomas are rare benign tumors of the lung and only 25 cases have been documented in children, most of which are endobronchial. Leiomyomas are benign smooth muscle neoplasms, usually diagnosed on morphological characteristics. However, immunohistochemistry plays a crucial role in the lineage differentiation when these are encountered at unusual sites or with unexpected morphological features. We report a case of endobronchial tumor of a 13-year-old male child who presented with a dry cough and hemoptysis. A mass lesion in the right main bronchus was detected by bronchoscopy and contrast-enhanced computed tomography. On histopathological examination of the resected specimen, a diagnosis of myxoid leiomyoma was made. To the best of our knowledge, this is the first case of myxoid leiomyoma to be reported in the respiratory tract. This case also demonstrates the need for a high index of suspicion and the role of immunomarkers in the diagnosis of such challenging cases.
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spelling doaj.art-f324e9405f2b45388cc8c34b2d43838d2022-12-22T01:49:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292016-01-01591878910.4103/0377-4929.174830Primary endobronchial myxoid leiomyoma in a child: An unusual case report and review of literatureAshutosh AwasthiSuparna DubeyAbha K SabhikhiSabyasachi BalPrimary leiomyomas are rare benign tumors of the lung and only 25 cases have been documented in children, most of which are endobronchial. Leiomyomas are benign smooth muscle neoplasms, usually diagnosed on morphological characteristics. However, immunohistochemistry plays a crucial role in the lineage differentiation when these are encountered at unusual sites or with unexpected morphological features. We report a case of endobronchial tumor of a 13-year-old male child who presented with a dry cough and hemoptysis. A mass lesion in the right main bronchus was detected by bronchoscopy and contrast-enhanced computed tomography. On histopathological examination of the resected specimen, a diagnosis of myxoid leiomyoma was made. To the best of our knowledge, this is the first case of myxoid leiomyoma to be reported in the respiratory tract. This case also demonstrates the need for a high index of suspicion and the role of immunomarkers in the diagnosis of such challenging cases.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2016;volume=59;issue=1;spage=87;epage=89;aulast=AwasthiEndobronchialimmunohistochemistryleiomyomamyxoid
spellingShingle Ashutosh Awasthi
Suparna Dubey
Abha K Sabhikhi
Sabyasachi Bal
Primary endobronchial myxoid leiomyoma in a child: An unusual case report and review of literature
Indian Journal of Pathology and Microbiology
Endobronchial
immunohistochemistry
leiomyoma
myxoid
title Primary endobronchial myxoid leiomyoma in a child: An unusual case report and review of literature
title_full Primary endobronchial myxoid leiomyoma in a child: An unusual case report and review of literature
title_fullStr Primary endobronchial myxoid leiomyoma in a child: An unusual case report and review of literature
title_full_unstemmed Primary endobronchial myxoid leiomyoma in a child: An unusual case report and review of literature
title_short Primary endobronchial myxoid leiomyoma in a child: An unusual case report and review of literature
title_sort primary endobronchial myxoid leiomyoma in a child an unusual case report and review of literature
topic Endobronchial
immunohistochemistry
leiomyoma
myxoid
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2016;volume=59;issue=1;spage=87;epage=89;aulast=Awasthi
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AT abhaksabhikhi primaryendobronchialmyxoidleiomyomainachildanunusualcasereportandreviewofliterature
AT sabyasachibal primaryendobronchialmyxoidleiomyomainachildanunusualcasereportandreviewofliterature