case_images: PMC3564573_01
case_images: HRCT with big pneumothorax in the left lower hemithorax (red cross).
case_images: jocmr-05-70-g001.jpg
case_images: PMC3564573_01_jocmr-05-70-g001.jpg
case_images: F1
case_images: Chest computed tomography (CT) showed the presence of an extended pneumothorax over the lower lobe of the left lung (Fig. 1).
case_images: A. Lesional cells are perivascular and consist of polygonal and oval/spindle cells with amphophilic cytoplasm. (H + E, original magnification 200 x); B. Lesional cells show focal staining with antibody to HMB 45 antigen; C. Lesional cells show staining with antibody to estrogen receptors; D. Lesional cells show staining with antibody to progesterone receptors.
case_images: jocmr-05-70-g002.jpg
case_images: PMC3564573_01_jocmr-05-70-g002.jpg
case_images: F2
case_images: Biopsies of lung tissue showed positive immunoreactivity with monoclonal antibody HMB-45 confirming the diagnosis of LAM (Fig. 2).
case_images: CT scan at follow up (4 months postoperatively).
case_images: jocmr-05-70-g003.jpg
case_images: PMC3564573_01_jocmr-05-70-g003.jpg
case_images: F3
case_images: Follow-up CT scans at 4 months showed a moderate pleural thickening, residual pulmonary cysts on the left side and no evidence of pneumothorax (Fig. 3).