Benign Metastasizing Leiomyoma: Metastasis to Rib and Vertebra

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Benign Metastasizing Leiomyoma: Metastasis to Rib and Vertebra Min-Woong Kang, MD, Shin Kwang Kang, MD, Jae Hyeon Yu, MD, Seung Pyung Lim, MD, Kwang Sun Suh, MD, Jae-Sung Ahn, MD, Myung Hoon Na, MD The Annals of Thoracic Surgery Volume 91, Issue 3, Pages 924-926 (March 2011) DOI: 10.1016/j.athoracsur.2010.08.030 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Preoperative chest roentgenogram and (B) axial chest computed tomography show a 3-cm mass in right sixth rib. The Annals of Thoracic Surgery 2011 91, 924-926DOI: (10.1016/j.athoracsur.2010.08.030) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Magnetic resonance imaging shows a 1.7-cm sixth thoracic vertebral mass. (B) The spinal cord is compressed by the anterior extension of the atypical mass. The Annals of Thoracic Surgery 2011 91, 924-926DOI: (10.1016/j.athoracsur.2010.08.030) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) The uterine mass from 2003 exhibited cellular leiomyoma showing hypercellularity. There was no pleomorphism, necrosis, or obviously increased mitotic activity (α-smooth muscle actin, original magnification ×400). (B) The uterine mass from 2006 shows same findings as in panel A (α-smooth muscle actin, original magnification ×40). (C) The rib mass shows proliferation of highly cellular spindle cells between bone (α-smooth muscle actin, original magnification ×100). (D) The tumor cells show strong immunoreactivity for progesterone receptor (original magnification × 400). The Annals of Thoracic Surgery 2011 91, 924-926DOI: (10.1016/j.athoracsur.2010.08.030) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions