@article{oai:dmu.repo.nii.ac.jp:00000849,
 author = {Fukushima, Yasutsugu and Hirata, Hiroyuki and Maezawa, Reika and Yoshida, Naruo and Hayashi, Yumeko and Arai, Ryo and Fukushima, Fumiya and Sugiyama, Kumiya and Kurasawa, Kazuhiro and Ishii, Yoshiki and Fukuda, Takeshi},
 issue = {2},
 journal = {Dokkyo journal of medical sciences},
 month = {Jul},
 note = {Benign metastasizing leiomyoma (BML) is a very rare disease, and although it was reported as early as1939 to result from metastasis of benign uterine myoma to the lungs and lymph nodes, its pathology remainsobscure. Here, we describe a case of pulmonary BML occurring after uterine myomectomy in a42-year-old woman. She presented with a 2-week history of dry cough on exertion. Chest radiography andcomputed tomography( CT) revealed bilateral multiple nodular lesions. The patient had a history of uterinemyoma and previously underwent myomectomy. For definitive diagnosis, lung biopsy was performed byvideo associated thoracoscopic surgery. Histopathologic examination of biopsy specimens revealed pulmonaryBML occurring after uterine myomectomy. For treatment of the pulmonary BML, gonadotropin-releasinghormone was initially administered, and 1 month later the patient underwent complete hysterectomyand bilateral salpingo-oophorectomy. Chest CT 6 months after surgery showed that the size and number oflung multiple nodular lesions did not increase compared with those before surgery. In future studies, we aimto investigate a larger number of pulmonary BML cases, as well as establish specific treatments and investigatethe prognosis of the disease.Abbreviations:BML:benign metastasizing leiomyomaSS:Sjögren's syndromeCT:computed tomographyH&E:hematoxylin and eosinVATS:video associated thoracoscopic surgeryCA:carbohydrate antigenIg:immunoguloblina SMA:a smooth muscle actin, Case Report},
 pages = {119--124},
 title = {A Case of Pulmonary Benign Metastasizing Leiomyoma Occurring after Uterine Myomectomy},
 volume = {37},
 year = {2010}
}