Statistics from Altmetric.com
A 49-year-old woman presented to the pulmonary outpatient clinic with a 4-year history of cough and dyspnoea. Physical examination showed bilateral coarse breath sounds. Pulmonary function tests showed mixed ventilatory defects and small airway obstruction. Chest CT (figure 1) revealed diffuse pulmonary nodules smaller than 1 cm with cavitation. Pelvic ultrasonography revealed a uterine leiomyoma measuring 4×3 cm. A video-assisted thoracoscopic surgery wedge biopsy of the left lingular segment was performed. Microscopic examination revealed the nodules were composed of cytologically benign spindle cells without atypia (figure 2A,B). These spindle cells were positive for alpha-smooth muscle actin (figure 2C), oestrogen (figure 2D) and progesterone (figure 2E) receptor, and negative for D2-40, …
Patient consent for publication Obtained.
Contributors JZ initiated the idea for case reporting and prepared the final copy of the manuscript. AD took responsibility for reviewing the CT, chest radiograph and MRI. YC supervised and reviewed the final manuscript. YW and JC took responsibility for reviewing the histopathology. All authors have read and approved the final manuscript.
Competing interests None declared.
Ethics approval Ethics Committee of The Second Affiliated Hospital of Jiaxing University.
Provenance and peer review Not commissioned; externally peer reviewed.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.