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Probable initial pulmonary lymphangioleiomyomatosis and mediastinal lymphangioleiomyoma.
[lymphangioleiomyomatosis]
A
68
year
old
woman
was
submitted
to
a
mediastinal
lymphangioleiomyoma
resection
found
in
a
follow-up
study
of
lower
left
lung
resection
due
to
bronchiectasis
complicated
by
chylothorax
.
This
led
to
a
revaluation
of
the
pulmonary
specimen
that
revealed
,
in
addition
to
inflammatory
bronchiectasis
,
small
spindle
cell
nodules
in
the
lung
parenchyma
,
similar
to
minute
pulmonary
meningothelial-like
nodules
,
but
with
smooth
muscle
actin
immunohistochemical
positivity
.
The
possibility
of
initial
pulmonary
development
of
lymphangioleiomyomatosis
is
discussed
.
