Benign Metastasizing Leiomyoma

Clin Chest Med. 2016 Sep;37(3):589-95. doi: 10.1016/j.ccm.2016.04.019. Epub 2016 Jun 25.

Abstract

Benign metastasizing leiomyoma (BML) is a rare and poorly characterized disease affecting primarily premenopausal women. Asymptomatic patients are often diagnosed incidentally by radiographs or other lung-imaging procedures performed for other indications, and the diagnosis is eventually confirmed by biopsy. Patients with BML are usually treated pharmacologically with antiestrogen therapies or surgically with oophorectomy or hysterectomy. Antiestrogen therapy is typically efficacious and, in general, most patients have a favorable prognosis. Asymptomatic patients with a confirmed diagnosis of BML, may be followed conservatively without treatment.

Keywords: Estrogen; Leiomyomas; Metastasis; Rare lung disease; Smooth muscle cells.

Publication types

  • Research Support, N.I.H., Intramural
  • Review

MeSH terms

  • Estrogen Receptor Modulators / therapeutic use*
  • Female
  • Humans
  • Hysterectomy
  • Leiomyoma / diagnostic imaging
  • Leiomyoma / pathology
  • Leiomyoma / therapy*
  • Leiomyomatosis / diagnostic imaging
  • Leiomyomatosis / pathology
  • Leiomyomatosis / therapy*
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / pathology
  • Lung Neoplasms / therapy*
  • Multiple Pulmonary Nodules / diagnostic imaging
  • Multiple Pulmonary Nodules / pathology
  • Multiple Pulmonary Nodules / therapy*
  • Ovariectomy*
  • Prognosis
  • Solitary Pulmonary Nodule / diagnostic imaging
  • Solitary Pulmonary Nodule / pathology
  • Solitary Pulmonary Nodule / therapy*
  • Tomography, X-Ray Computed
  • Uterine Neoplasms / surgery*

Substances

  • Estrogen Receptor Modulators