[Benign metastasizing leiomyoma: An unusual cause of aggressive femoral bone tumor]

Abstract

Background: Benign metastasizing leiomyoma (BML) is a rare condition characterized by histologically benign "metastatic" smooth muscle tumors, which can affect women with history of uterine surgery. We report the case of a patient with bone metastases of BML.

Case report: A 78-year-old woman who had undergone uterine surgery six years before hospital admission, was diagnosed with large pulmonary and pleural metastases that necessitated surgical removal. Pathological examination allowed the diagnosis of BML with positive staining for estrogen and progesterone receptors. Three years later, a BML metastasis in the right femoral diaphysis was unexpectedly discovered and treated by osteosynthesis because of a high risk of fracture. Despite an aromatase-inhibitor treatment, new lungs lesions appeared in the next few months.

Conclusion: BML is a potential cause of aggressive, although histologically benign, bone tumor in women with a history of uterine surgery.

Keywords: Benign metastasizing leiomyoma; Cas-clinique; Case report; Chirurgie utérine; Léiomyome métastatique bénin; Uterine surgery.