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°áÀý¼º °æÈ­Áõ¿¡ µ¿¹ÝµÈ Æó¸²ÇÁ°üÆòÈ°±ÙÁ¾Áõ°ú ¼Ò°áÀý¼ºÆóÆ÷¼¼Æ÷Áõ½Ä:1¿¹ º¸°í Pulmonary Lymphangioleiomyomatosis and Micronodular Pneumocyte Hyperplasia associated with Tuberous Sclerosis;A Case Report

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±è±³¿µ ( Kim Gou-Young ) 
°æÈñ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç

ÀÌÁÖÈñ ( Lee Ju-Hie ) 
°æÈñ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
¹Ú¿ë±¸ ( Park Yong-Koo ) 
°æÈñ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
±èÀ±È­ ( Kim Youn-Hwa ) 
°æÈñ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
¹ÚÀçÈÆ ( Park Jae-Hoon ) 
°æÈñ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç
¾ç¹®È£ ( Yang Moon-Ho ) 
°æÈñ´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç

Abstract


Lymphangioleiomyomatosis (LAM) is characterized by a hamartomatous proliferation of smooth muscle cells in the lung, mediastium, and abdomen. In the lung, an abnormal proliferation of smooth muscle is seen along the airways, blood vessels, and lymphatics, resuliting in honeycombing of the lung. It occurs in 0.1-1% of tuberous sclerosis (TSC) patients. Micronodular pneumocyte hyperplasia (MNPH)is a rare but distinctive pumonary manifestation of TSC, and appears to be a hamartomatous proliferation of the type ¥± pneumocytes. We report a case of pulmonary LAM and MNPH associated with TSC and bilateral renal angiomyolipoma in a 26-year-old woman. Immunohistochemicalty, the spindle cells of LAM were positive for HMB-45, but the type ¥± pneumocytes of MNPH were negative.

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Lung Neoplasms;Tuberous Sclerosis

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