Okimasa Seiji, Shibata Satoshi
Division of Thoracic Surgery, Higashi-Hiroshima Medical Center, Japan.
Jpn J Thorac Cardiovasc Surg. 2006 Aug;54(8):356-8. doi: 10.1007/s11748-006-0012-7.
We report a case of lymphangioleiomyomatosis (LAM) in a 33-year-old woman. Left pneumothorax was noted during a physical checkup at a local clinic. Multiple bullae in the bilateral lungs were also seen on chest computed tomography. Therefore, she underwent surgery for diagnosis and therapy. A large number of cysts of various sizes were seen in the left pleural cavity, and a cyst located at the lingular region was resected. Histopathological examination of the cyst walls showed a thin rim of abnormal muscle consisting of spindle-shaped cells resembling smooth muscle cells as well as thick, eccentric, or concentric proliferation. The examination described above confirmed the diagnosis of LAM. The patient is currently being followed up on an outpatient basis.
我们报告一例33岁女性的淋巴管平滑肌瘤病（LAM）。在当地诊所体检时发现左侧气胸。胸部计算机断层扫描还显示双侧肺部有多个肺大疱。因此，她接受了手术以进行诊断和治疗。在左胸腔内可见大量大小不一的囊肿，切除了位于舌叶区域的一个囊肿。囊肿壁的组织病理学检查显示，有一层由类似平滑肌细胞的梭形细胞组成的薄异常肌肉边缘，以及增厚、偏心或同心性增生。上述检查确诊为LAM。该患者目前正在门诊接受随访。
