Primary Pulmonary Leiomyosarcoma: An Unusual Cause of Pleural Effusion.
- 2022
Primary pulmonary leiomyosarcomas (PPLs) are extremely rare tumors of the lungs. They can present with non-specific symptoms or can also be asymptomatic with clues towards diagnosis being found on routine examination or radiographs. We present a case of a 54-year-old woman who presented with worsening shortness of breath and spells of dizziness. Her chest radiographs showed right-sided pleural effusion and CT revealed a large enhancing pleural mass with compression atelectasis and mediastinal shift. She underwent a thoracoscopy and right pleural biopsy. Histopathology and immunohistochemistry were most consistent with leiomyosarcoma. An extensive search for a possible primary in other sites was unrevealing, thus diagnosing the patient with PPL. She was managed with surgery and radiotherapy. Copyright © 2022, Bin Waqar et al.
English
2168-8184
10.7759/cureus.23821 [doi] PMC8979575 [pmc]
IN PROCESS -- NOT YET INDEXED
MedStar Heart & Vascular Institute
MedStar Union Memorial Hospital
Internal Medicine Residency
Case Reports