Autor: |
Stefan Welter, Philipp Thrull, Michael Westhoff, Peter Bach, Helmut Popper, Hans-Jörg Maschek |
Jazyk: |
angličtina |
Rok vydání: |
2019 |
Předmět: |
|
Zdroj: |
Respiratory Medicine Case Reports, Vol 28, Iss , Pp - (2019) |
Druh dokumentu: |
article |
ISSN: |
2213-0071 |
DOI: |
10.1016/j.rmcr.2019.100873 |
Popis: |
We report on a 32-year-old woman with a second manifestation of a tension pneumothorax two weeks after drainage therapy. The chest CT-scan revealed multiple large bilateral pulmonary cysts. She underwent minimally invasive wedge resection and pleurectomy for treatment. The extensive histologic evaluation revealed the diagnosis of a lymphangioleiomyomatosis (LAM) with an uncommon pattern of lung cysts. Initial staining for HMB-45 was negative. Repeated evaluation of other sections and reference pathology examination detected minimal expression of HMB-45.This case illustrates that immunohistochemistry for HMB-45 may be negative, although LAM is present and repeated immunohistochemistry may be necessary to establish the correct diagnosis. Keywords: Lung cysts, Lymphangioleiomyomatosis, Pneumothorax |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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