Journal Information
Vol. 16. Issue 6.
Pages 921-923 (November - December 2010)
Vol. 16. Issue 6.
Pages 921-923 (November - December 2010)
CASO CLÍNICO
Open Access
Árgon-plasma no tratamento de leiomioma benigno metastizante pulmonar: um caso clínico
Argon-plasma treatment in benign metastasizing leiomyoma of the lung: a case report
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A. Bugalhoa,c, A. Oliveiraa, J. Semedoa, I. Lourençob, L. Carreiroa
a Unidade de Técnicas Invasivas Pneumológicas do Departamento de Pneumologia do Hospital Pulido Valente, Lisboa, Portugal
b Departamento de Anatomia Patológica, Hospital Pulido Valente, Lisboa, Portugal
c Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Portugal
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Resumo

Os leiomiomas benignos metastizantes pulmonares são tumores raros de células musculares lisas. Uma doente de 48 anos foi avaliada devido a tosse persistente, dispneia progressiva e sintomas constitucionais. A tomografi a computorizada do tórax revelou uma massa endobrônquica à esquerda, múltiplos nódulos do parênquima pulmonar e derrame pleural. As características histológicas da biopsia brônquica foram consistentes com o diagnóstico de leiomioma benigno metastizante. A doente foi submetida a árgon-plasma e desobstrução mecânica com efi cácia terapêutica. Verifi cou-se estabilidade clínica nos últimos quatro anos.

Keywords:
PALAVRAS-CHAVE
Leiomioma benigno
metastizante
Neoplasias pulmonares
Diagnóstico
Broncoscopia
Tratamento
Tratamento árgon-plasma
Abstract

Benign metastasizing leiomyomas of the lung are rare smooth muscle cells tumours. We report the case of a 48 year-old female who was evaluated due to persistent cough, progressive dyspnoea and constitutional symptoms. Chest computed tomography revealed a left endobronchial mass, multiple parenchyma nodules and a pleural effusion. Bronchial biopsy histological features were consistent with benign metastasizing leiomyoma. The patient was successfully treated with argon-plasma and mechanical debulking. There was no disease relapse in the last four years.

KEYWORDS:
Benign metastasizing
leiomyoma
Lung neoplasms
Diagnosis
Bronchoscopy
Management
Argon-plasma Treatment
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Copyright © 2010. Sociedade Portuguesa de Pneumologia/SPP
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