{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T10:38:31Z","timestamp":1760524711919,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T00:00:00Z","timestamp":1740700800000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Postoperative recurrences of uncertain malignant potential [(smooth muscle tumors of uncertain malignant potential (STUMPs)] have been reported, with lung as the most common site. Herein, we describe pulmonary metastases of a uterine STUMP presenting as bullae in a female patient. Computed tomography revealed two pulmonary metastases in the left lung with several bullae in both lungs, and the patient was referred to our department for pulmonary metastasectomy. Despite mild right pneumothorax on admission, left pulmonary metastasectomy and bullectomy were safely performed, with an uneventful postoperative course. Right pneumothorax recurred four days after discharge; hence, surgery was indicated. Although the air leak point was not a bulla but rather a pleural dissemination nodule, metastasectomy with bullectomy was performed. Pathological examination suggested that the bullae developed owing to retraction and collapse of the alveoli surrounding the pulmonary metastases. Bullae formed during the clinical course of malignancy have the potential of pulmonary metastases.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf106","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T22:20:01Z","timestamp":1741126801000},"source":"Crossref","is-referenced-by-count":1,"title":["Pulmonary metastases of a uterine smooth muscle tumor of uncertain malignant potential presenting as growing bullae: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8442-7879","authenticated-orcid":false,"given":"Masao","family":"Kobayashi","sequence":"first","affiliation":[{"name":"Department of General Thoracic Surgery, Osaka International Cancer Institute , 3-1-69, Otemae, Chuo-Ku, Osaka 540-0008 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3432-3946","authenticated-orcid":false,"given":"Tomohiro","family":"Maniwa","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Osaka International Cancer Institute , 3-1-69, Otemae, Chuo-Ku, Osaka 540-0008 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisaya","family":"Chikaraishi","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Osaka International Cancer Institute , 3-1-69, Otemae, Chuo-Ku, Osaka 540-0008 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironobu","family":"Samejima","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Osaka International Cancer Institute , 3-1-69, Otemae, Chuo-Ku, Osaka 540-0008 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Horiguchi","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Osaka International Cancer Institute , 3-1-69, Otemae, Chuo-Ku, Osaka 540-0008 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryu","family":"Kanzaki","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Osaka International Cancer Institute , 3-1-69, Otemae, Chuo-Ku, Osaka 540-0008 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoji","family":"Kamiura","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Osaka International Cancer Institutex , 3-1-69, Otemae, Chuo-Ku, Osaka 540-0008 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiro","family":"Okami","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Osaka International Cancer Institute , 3-1-69, Otemae, Chuo-Ku, Osaka 540-0008 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"key":"2025030422194087300_ref1","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.3390\/medicina59081371","article-title":"Smooth muscle tumor of uncertain malignant potential (STUMP): a comprehensive multidisciplinary update","volume":"59","author":"Tinelli","year":"2023","journal-title":"Medicina (Kaunas)"},{"key":"2025030422194087300_ref2","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.21873\/anticanres.14064","article-title":"Recurrent uterine smooth-muscle tumors of uncertain malignant potential (STUMP): state of the art","volume":"40","author":"Rizzo","year":"2020","journal-title":"Anticancer Res"},{"key":"2025030422194087300_ref3","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1097\/PAP.0b013e3181cfb901","article-title":"Uterine smooth muscle tumors other than the ordinary leiomyomas and leiomyosarcomas: a review of selected variants with emphasis on recent advances and unusual morphology that may cause concern for malignancy","volume":"17","author":"Ip","year":"2010","journal-title":"Adv Anat Pathol"},{"key":"2025030422194087300_ref4","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1055\/s-0034-1368182","article-title":"Pulmonary metastases of a uterine smooth muscle tumour with undefined malignancy potential","volume":"74","author":"Esch","year":"2014","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"2025030422194087300_ref5","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1016\/j.ygyno.2009.02.020","article-title":"Uterine smooth muscle tumor of uncertain malignant potential: a retrospective analysis","volume":"113","author":"Guntupalli","year":"2009","journal-title":"Gynecol Oncol"},{"key":"2025030422194087300_ref6","doi-asserted-by":"publisher","first-page":"818","DOI":"10.1016\/j.ygyno.2004.05.049","article-title":"Uterine smooth-muscle tumor of uncertain malignant potential metastasizing to the humerus as a high-grade leiomyosarcoma","volume":"94","author":"Shapiro","year":"2004","journal-title":"Gynecol Oncol"},{"key":"2025030422194087300_ref7","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.1111\/j.1525-1438.2007.01125.x","article-title":"Uterine smooth muscle tumor of uncertain malignant potential: a three-case report","volume":"18","author":"Berretta","year":"2008","journal-title":"Int J Gynecol Cancer"},{"key":"2025030422194087300_ref8","doi-asserted-by":"publisher","first-page":"176","DOI":"10.4103\/0971-5851.103148","article-title":"Uterine smooth muscle tumor of uncertain malignant potential: a rare cause of multiple pulmonary nodules","volume":"33","author":"Kotsopoulos","year":"2012","journal-title":"Indian J Med Paediatr Oncol"},{"key":"2025030422194087300_ref9","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1510\/icvts.2011.273201","article-title":"Pneumothorax associated with treatment for pulmonary malignancy","volume":"13","author":"Maniwa","year":"2011","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2025030422194087300_ref10","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1136\/thx.44.7.533","article-title":"Origin and behaviour of emphysematous bullae","volume":"44","author":"Morgan","year":"1989","journal-title":"Thorax"},{"key":"2025030422194087300_ref11","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1016\/j.iac.2023.01.003","article-title":"Lymphangioleiomyomatosis and other cystic lung diseases","volume":"43","author":"Koslow","year":"2023","journal-title":"Immunol Allergy Clin North Am"},{"key":"2025030422194087300_ref12","doi-asserted-by":"publisher","first-page":"5067276","DOI":"10.1155\/2018\/5067276","article-title":"Benign metastasizing leiomyoma of the uterus: rare manifestation of a frequent pathology","volume":"2018","author":"Raposo","year":"2018","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025030422194087300_ref13","doi-asserted-by":"publisher","first-page":"2771","DOI":"10.1111\/jog.15777","article-title":"Long-term effect of letrozole on metastatic uterine smooth muscle tumors of uncertain malignant potential: a case report","volume":"49","author":"Praben","year":"2023","journal-title":"J Obstet Gynaecol Res"},{"key":"2025030422194087300_ref14","doi-asserted-by":"publisher","first-page":"792","DOI":"10.1097\/PAS.0000000000001254","article-title":"PD-L1 expression and tumor-infiltrating lymphocytes in uterine smooth muscle tumors: implications for immunotherapy","volume":"43","author":"Shanes","year":"2019","journal-title":"Am J Surg Pathol"},{"key":"2025030422194087300_ref15","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1097\/MNM.0b013e32834e41a6","article-title":"Role of FDG PET-CT in detecting recurrence in patients with uterine sarcoma: comparison with conventional imaging","volume":"33","author":"Sharma","year":"2012","journal-title":"Nucl Med Commun"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/2\/rjaf106\/62206917\/rjaf106.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/2\/rjaf106\/62206917\/rjaf106.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T22:20:03Z","timestamp":1741126803000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf106\/8046279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf106","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,2]]},"published":{"date-parts":[[2025,2]]},"article-number":"rjaf106"}}