2003 Volume 25 Issue 7 Pages 558-563
Case. A 41-year-old woman underwent hysterectomy on a diagnosis of uterine myoma in another hospital at the age of 37. She was admitted to our hospital because of cough and bloody sputum. Fiberoptic bronchoscopy was performed because her chest X-ray film revealed multiple nodules in both lungs. A white and soft polypoid tumor arose from the left lower bronchus. The biopsied specimen revealed malignant cells with spindle-shaped nuclei. A diagnosis of leiomyosarcoma was confirmed by immunohistochemical examinations. It was confirmed as a metastatic tumor by re-evaluation of histology of the previous hysterectomy specimen. Enucleation of the tumor in the right lung and left lower lobectomy were performed. Although her symptoms were relieved after the operation, she died of metastatic disease, 3 years after resection of the metastatic lesion. Conclusion. In uterine leiomyosarcoma, endobronchial metastasis is relatively rare.
