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Correspondence to Author: Latinf MF, 

North Wales Cancer Treatment centre, Betsi Cadwaladr University Health Board, Bodelwyddan, LL18 5UJ, UK.

Abstract:

A rare disorder known as benign metastasizing leiomyoma (BML) is characterized by many, well-defined smooth muscle cell nodules that mostly affect the lungs and other soft tissue organs. As many as 120 cases have been since Steiner’s initial 1939 report. Women of reproductive age who have had a prior hysterectomy for benign leiomyoma are typically affected. The amount of time that passes between the first operation and the onset of BML varies greatly; for many, it happens years after a hysterectomy. The majority of patients receive an unplanned diagnosis following a computed tomography (CT) scan or chest radiograph performed for other purposes. These patients are frequently misdiagnosed as having cancer of unknown origin, and a delay in receiving a histological diagnosis can seriously harm the patient’s psychological state. Although the best course of action is debatable, hormone modification is usually seen as the initial step. We disclose We describe a 54-year-old woman who had an earlier hysterectomy and who complained of nausea and stomach pain. Multiple lung nodules and intestinal blockage were found on the CT scan.

Introduction: A 54-year-old postmenopausal patient was brought in with a medical history of constipation, vomiting, and stomach pain. Eleven years ago, she underwent a hysterectomy due to benign uterine polyps. Additional medical Anxiety, depression, irritable bowel syndrome, recurring bilateral breast cysts, and benign subcutaneous lipomatosis were among the issues.
She was taking frequent citalopram for depression and did not smoke or have a history of alcohol use. She shared a home with her three kids and her spouse. The family did not have a history of cancer. Upon clinical examination, the patient had a painful epigastrium without any guarding or rigidity, and there were audible bowel movements. The systematic examination was uneventful the rest of the way. Upon arrival, the patient’s chest and abdomen radiographs revealed pulmonary nodules and enlarged bowel loops that could indicate minor bowel obstruction, respectively.

Keywords :
Benign metastasizing leiomyoma; Leiomyoma of uterus; Carcinoma of unknown primary.

Citation:

Latinf MF. Diagnostic Dilemma: Benign Pulmonary Metastasizing Uterine Leiomyoma Presenting as Unknown Origin Malignancy.. The Journal of Clinical Oncology 2024.