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Vol. 16. Issue 6.
Pages 921-923 (November - December 2010)
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Vol. 16. Issue 6.
Pages 921-923 (November - December 2010)
Case report
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Argon-plasma treatment in benign metastasizing leiomyoma of the lung: A case report
Árgon-plasma no tratamento de leiomioma benigno metastizante pulmonar: Um caso clínico
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A. Bugalhoa,c,
Corresponding author
antonio.bugalho@gmail.com

Corresponding author.
, A. Oliveiraa, J. Semedoa, I. Lourençob, L. Carreiroa
a Interventional Pneumology Unit, Department of Pneumology, Hospital Pulido Valente, Lisbon, Portugal
b Department of Pathology, Hospital Pulido Valente, Lisbon, Portugal
c Faculty of Medical Sciences, New University of Lisbon, Portugal
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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
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 tomografia 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 coagulação árgon-plasma e desobstrução mecânica com eficácia terapêutica. Verificou-se estabilidade clínica nos últimos quatro anos.

Palavras-chave:
Leiomioma benigno metastizante
Neoplasias pulmonares
Diagnóstico
Broncoscopia
Tratamento
Tratamento árgon-plasma
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References
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Copyright © 2010. Sociedade Portuguesa de Pneumologia
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