Korzeniewska-Koseła M, Maziarka D, Wesołowski S, Langfort R, Słodkowska J, Bestry I, Kowalski J, Kuś J
I Klinika Gruźlicy i Chorób Płuc, Warszawa.
Pneumonol Alergol Pol. 2001;69(11-12):626-34.
Lymphangioleiomyomatosis is a rare lung disease of unknown aetiology that affects only women. Eight premenopausal women with LAM confirmed by lung biopsy specimens were observed in 1984-2001. The most common presenting feature was exertional dyspnea (6) followed by chylous pleural effusions and pneumothoraces. In two women severe airflow obstruction was observed at presentation. HRCT revealed characteristic cysts in all cases. All women were given hormonal therapy (tamoxifen, medroxyprogesterone). The best results of treatment were achieved in cases with chylothoraces.
淋巴管平滑肌瘤病是一种病因不明的罕见肺部疾病,仅影响女性。1984年至2001年期间观察到8名经肺活检标本确诊为淋巴管平滑肌瘤病的绝经前女性。最常见的症状是劳力性呼吸困难(6例),其次是乳糜性胸腔积液和气胸。两名女性在就诊时出现严重气流阻塞。高分辨率CT在所有病例中均显示出特征性囊肿。所有女性均接受了激素治疗(他莫昔芬、甲羟孕酮)。乳糜胸患者的治疗效果最佳。