Faiz Ur Rehman.
J Postgrad Med Inst Jan ;16(1):116-7.
A 60 years old lady, living in Peshawar, Pakistan, presented with the complaints of shortness of breath on moderate exertion and productive cough of several months duration with exacerbations off and on. She was otherwise asymptomatic. Clinical examination revealed bilaterally prolonged expiration. She used inhalers for allergies off and on, but did not give any history of asthma. Routine chest X-ray revealed bilateral pulmonary shadows in 1993. CT Scan done in 1995 showed multiple bilateral well defined pulmonary nodules, mainly in the lower lobes. Serial CT Scans till August 2001 showed slowly growing sizes of these masses with small satellite lesions scattered throughout the lung fields on both the sides, mainly in the lower lobes. A trucut biopsy of the right basal mass was performed. Histopathological examination with immunohistochemical stain was consistent with Leiomyoma, as reported by the Pathologist of Shaukat Khanum Memorial Cancer Hospital & Research Center, Lahore Pakistan. The diagnosis was discussed with the Histopathologist and Oncologist both in Sarasota, Florida as well as the Depart ment of Armed Forces Institute of Pathology, Washington, DC. Dr Travis, Head of Pulmonary Pathology at that Institute, reviewed the slides and agreed with the diagnosis. The case was discussed by a panel of consultants at the Doctor`s Hospital, Sarasota in Tumor conference on August 22, 2001. The consensus diagnosis was Benign Metastasizing Leiomyoma.
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