[ @entity358 (lymphangiomyomatosis) in XXXX --a case in which clinical course had been modified by previous surgical intervention].

@entity1 @entity5229 @entity4530 @entity2916 @entity358 @entity359 @entity703
A 42-year-old @entity1 was referred to this institution because of persistent air leak associated with @entity5229 . She had undergone a radical hysterectomy with bilateral oophorectomy and left nephrectomy one year previously. The @entity703 was identified as an @entity359 . This, along with the characteristic dermal lesions led to the diagnosis of @entity2916 . Preoperative thin-slice chest CT showed multiple thin-walled, round and cystic air spaces in the @entity358 bilaterally, as well as the left pneumothorax. Through a left thoracotomy, suture ligation and laser ablation of the @entity358 was done. Examination of the biopsy specimen of the lung showed hamartoangiomyomatosis with @entity4530 . The proliferating smooth muscle in the walls of the bullae was positively stained by HMB45 monoclonal antibody. The @entity1 recovered uneventfully, and was doing well three years later without medications. The prior surgical castration may have prevented progression of the disease.
