Nadir Bir Plevral Leimiyoma Olgusu

Elli altý yaþýnda kadýn hasta üç yýldýr devam eden göðüs aðrýsý, nefes darlýðý ve göðsünün sað tarafýnda þiþlik yakýnmalarý ile baþvurdu. Akciðer grafisinde ve bilgisayarlý toraks tomografisinde sað akciðerde 16X13X12 cm ebadýnda kitle lezyonu görüldü. Hastaya sað torakotomi uygulandý. Kitle mediastinal plevradan kaynaklanýyordu. Tümör parçalanarak çýkarýldý. Makroskopik olarak tümör sert, düzensiz yüzeyli, beyaz-sarý renkte bir kitle idi. Histolojik olarak olarak belirgin hücresel nekroz ve mitotik aktivitesi olmayan düz kas liflerinden oluþuyordu. Amacýmýz çok nadir görülen plevral kaynaklý leimiyomanýn malignite potansiyelinden dolayý çýkarýlmasý gerektiðini vurgulamaktýr.

A Rare case of pleural leiomyoma

A 56-year-old female patient presented with chest pain and shortness of breath ongoing for 3 years. Chest X-ray and computed tomography of the thorax revealed mass 16 x 13 x 12 cm in size in the right middle and lower lobes. Right posterolateral thoracotomy was performed. According to frozen biopsy, mass was determined to be degenerative leiomyoma. Histopathologically, tumor consisted of packets and bundles of smooth muscle fibers without significant cellular necrosis or mitotic activity. Macroscopic appearance of the tumor was white-yellow color and texture was very hard. Due to size and location, tumor was removed with 2 incisions. Aim of this report was to emphasize the need for removal of leiomyoma due to malignant potential of pleural origin.

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