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심현정 ( Hyun Jeong Shim ),임정환 ( Jung Hwan Lim ),이석 ( Seck Lee ),김대현 ( Dae Hyun Kim ),박강진 ( Kang Jin Park ),이세련 ( Se Ryeon Lee ),정종필 ( Jong Pil Jeong ),손준광 ( Jun Gwang Son ),김수옥 ( Soo Ok Kim ),오인재 ( In J 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.5
Leiomyoma of the bronchus is a very rare benign tumor of the lung. Most endobronchial leiomyomas occur as secondary foci of primary uterine leiomyoma. We herein report a case with endobronchial tumor that had a different pathology from a primary resected uterine leiomyoma and was therefor considered a primary endobronchial leiomyoma. A 51-year-old woman with a history of uterine myoma presented with productive cough and fever. Bronchoscopy revealed a lightly yellow colored mass lesion that totally obstructed the orifice of the left lower lobe of the lung. The diagnosis of leiomyoma was made by histological examination of the obtained specimen. We considered the possibility of a benign metastasizing pulmonary leiomyoma. For treatment and differential diagnosis, a left lower lobe lobectomy of the lung and total hysterectomy with bilateral salphingooopherectomy were performed. The differences between lung and uterine lesions were confirmed by morphologic finding and immunohistochemical staining. The pathological diagnosis was primary endobronchial leiomyoma combined with uterine myoma. (Tuberc Respir Dis 2006; 61: 490-495)