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Congenital Pulmonary Lymphangiectasia, Associated with Total Anomalous Pulmonary Venous Return

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Ȳ¼º¿í, ±è¹Ì¼±, ¹Úº¸Àº, ¹ÚÅÂÀÎ,
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Ȳ¼º¿í ( Hwang Seong-Wook ) 
Kyungpook National University School of Medicine Department of Pathology

±è¹Ì¼± ( Kim Mee-Seon ) 
Kyungpook National University School of Medicine Department of Pathology
¹Úº¸Àº ( Park Po-Eun ) 
Kyungpook National University School of Medicine Department of Pathology
¹ÚÅÂÀΠ( Park Tae-In ) 
Kyungpook National University School of Medicine Department of Pathology

Abstract


Congenital pulmonary lymphangiectasia (CPL) is very rare. It shows diffuse pulmonary lymphatic dilatation without lymphatic proliferation. CPL can occur as a primary disorder or arise secondarily from other diseases such as the obstruction of pulmonary veins or lymphatics. The prognosis of CPL is very poor. Approximately 50% of infants are stillborn and most others usually die within the first day of life. The present case showed diffuse lymphangiectasia in the subpleural, interlobular, and peribronchovascular areas. The flat lining cells were immunohistochemically positive for D2-40 and CD31. CPL is usually diagnosed by clinicoradiological or postmortem examinations. However, our case was diagnosed by an antemortem lung biopsy. We report a case of CPL with total anomalous pulmonary venous return.

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Congenital pulmonary lymphangiectasia; Pulmonary venous return anomaly

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