Das „benigne” metastasierende Leiomyom

Zusammenfassung

Wir berichten über 2 Patientinnen mit beidseitigen Lungenrundherden als Zufallsbefund. Eine videoassistierte thorakoskopische Exploration erbrachte die histopathologische Diagnose eines „benignen” metastasierenden Leiomyoms (BML). Ursprung und Dignität dieser Erkrankung sind nicht eindeutig geklärt. Wir diskutieren hier die Ursache des Krankheitsbildes und die möglichen Therapieoptionen - von der Ovarektomie bis zu verschiedenen Hormontherapien, ohne dass eine einheitliche Therapieempfehlung gegeben werden kann.

Abstract

We report two patients with pulmonary nodules detected by chance. Histopathology of biopsies retrieved by surgical videothoracoscopy revealed benign metastasizing leiomyoma (BML). The origin of this disease as well as its dignity are not fully understood. We discuss the origin of this disease and different therapeutic options - from oophorectomy to different hormon therapies. A standardized therapeutic recommendation cannot be given.

Literatur

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