DOI: https://doi.org/10.36347/sjmcr.2026.v14i02.034

Pages: 315-316

Background: Benign metastasizing pulmonary leiomyoma (BMPL) is a rare condition characterized by pulmonary dissemination of histologically benign smooth-muscle tumors, typically occurring in women with a history of uterine leiomyoma surgery. Case presentation: A 52-year-old woman with prior surgery for uterine fibroids presented with a chronic productive cough. Imaging revealed multiple bilateral pulmonary nodules. Bronchoscopy and laboratory investigations were unremarkable. Transthoracic biopsy with histopathology and immunohistochemistry supported the diagnosis of benign metastasizing leiomyoma. Conclusion: BMPL should be considered in women presenting with multiple pulmonary nodules and a history of uterine leiomyoma. Diagnosis relies on clinicoradiological correlation and histopathological confirmation. Keywords: benign metastasizing leiomyoma; pulmonary nodules; uterine leiomyoma; smooth- muscle tumor; case report.