Benign metastasizing uterine leiomyoma: Multiple lymph nodal metastases

Authors

  • M. R. Abell MD, PhD,

    Professor of Pathology, Corresponding author
    1. The University of Michigan
    2. Departments of Pathology, Wayne County General Hospital, Eloise, MI, and The University of Michigan Medical Center, Ann Arbor, MI
    • Department Pathology, The University of Michigan, 1335 E. Catherine St., Ann Arbor, MI 48104
    Search for more papers by this author
  • E. R. Littler MD

    Associate Professor of Pathology and Pathologist
    1. The University of Michigan
    2. Wayne County General Hospital
    3. Departments of Pathology, Wayne County General Hospital, Eloise, MI, and The University of Michigan Medical Center, Ann Arbor, MI
    Search for more papers by this author

Abstract

A case of histologically benign lymph nodal metastases from a uterine Ieiomyoma in a 27-year-old woman is reported. It is postulated that fragments of a leiomyoma, detached at the time of endometrial curettage, entered dilated lymphatic channels in or adjacent to a large projecting submucous leiomyoma, and seeded several pelvic and para-aortic lymph nodes. During an interval of 8 years, these grew slowly and did not infiltrate the perinodal tissues or give rise to secondary metastases.

Ancillary