Journal of Investigative Medicine High Impact Case Reports (Apr 2015)

Metastasizing Bronchopulmonary Leiomyosarcoma

  • Speros Livieratos MD,
  • Eddie Fatakhov MD,
  • Ali Ammar MD,
  • Thomas Dillard MD,
  • Bruce Davis MD

DOI
https://doi.org/10.1177/2324709615584000
Journal volume & issue
Vol. 3

Abstract

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An otherwise healthy 55-year-old female, nonsmoker, was seen in pulmonary consultation for progressively worsening shortness of breath. She had undergone a complete hysterectomy 7 years prior for bleeding leiomyomas. On presentation, her initial chest X-ray showed a large right-sided pleural effusion with multiple pulmonary nodules. Two thoracenteses failed to reveal any cytologic abnormalities. Bronchoscopy revealed smooth, round, endobronchial lesions. Histologic examination showed features consistent with leiomyosarcoma. We present a rare case of a patient that initially had possible leiomyomas of the uterus surgically removed and years later presented with bronchopulmonary leiomyosarcoma.