Recurrent Pneumothoraces in a Patient With Pulmonary Benign Metastasizing Leiomyoma

Authors

Miranda Hann, The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.
Rinu Manacheril, Department of Neurology, Ochsner Clinic Foundation, New Orleans, LA.
Jerry St Pierre, Department of Obstetrics and Gynecology, Ochsner Clinic Foundation, New Orleans, LA.
Rajiv Gala, The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.

Document Type

Article

Abstract

BACKGROUND: Pulmonary benign metastasizing leiomyoma (BML) is a rare disease with a malignant characteristic of spread from the uterus. Most cases are asymptomatic, and only 1% are associated with pneumothorax. CASE REPORT: We present the case of a 42-year-old female with recurrent pneumothoraces leading to an incidental finding of diffuse bilateral pulmonary nodules. The diagnosis of BML was based on the patient's history of uterine leiomyomata and confirmed by a biopsy showing benign smooth muscle staining for desmin and vimentin. CONCLUSION: BML should be considered in women with a history of leiomyomata who develop pneumothoraces resulting from peripheral pulmonary nodules. A standardized treatment regimen has yet to be established, and therapy plans require a multidisciplinary approach, involving gynecology, cardiothoracic surgery, and pulmonology.

Publication Date

1-1-2017

Publication Title

The Ochsner journal

ISSN

1524-5012

Volume

17

Issue

3

First Page

284

Last Page

287

PubMed ID

29026364

Recommended Citation

Hann, Miranda; Manacheril, Rinu; St Pierre, Jerry; and Gala, Rajiv, "Recurrent Pneumothoraces in a Patient With Pulmonary Benign Metastasizing Leiomyoma" (2017). Neurology. 1460.
https://scholar.barrowneuro.org/neurology/1460