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Vol. 24. Issue 1.
Pages 33-36 (January - February 1988)
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Vol. 24. Issue 1.
Pages 33-36 (January - February 1988)
Leiomioma benigno metastatizante. Estudio ultraestructural de un nuevo caso
Benign metastasic leiomyoma. Ultrastructural examination of one further case
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C. Martinez Vazquez, A. Pena, A. Ocampo
Servicio de Medicina Interna, Hospital Xeral. Vigo
M.C. Campo*, N. Alfonsin*, R. Cameselle**
* Servicio de Anatomía Patológica. Hospital Xeral. Vigo
** Servicio de Cirugía General. Hospital Xeral. Vigo
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Los autores describen un nuevo caso de leiomioma benigno metastatizante, caracterizado por la presencia de nodulos pulmonares múltiples formados por tejido tumoral muscular liso con escaso o nulo crecimiento en nueve años. Analizan la confusa terminología aplicada a esta enfermedad, proponiendo, como otros autores, denominar como tal a los casos de pacientes con leiomiomas a nivel pulmonar y uterino, inclinándose ante los hallazgos ultraestructurales por el origen uterino de los mismos.

Proponen el tratamiento antiestrogénico con tamoxifeno ante la respuesta hormonal que parecen tener y el mal pronóstico apreciado en algún caso.

We report on a further case of benign metastasic meiomyoma characterized by the presence of multiple pulmonary nodes of smooth muscle tumoral tissue which showed slight or no growth over a 9 year period. The confusing terminology currently used for this condition is analyzed. As others, we propose the use of this term in patients with lung and uterus leiomyomas, the Ultrastructural findings suggesting an uterine origin. Finally antiestrogen therapy with tamoxifen is proposed considering the hormonal response that seems to be present and the poor prognosis of some cases.

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