Abstract

Background: Pulmonary lymphangiomyomatosis is relatively rare disease and it is a systemic disease with an unknown etiology. The abnormal proliferation of smooth muscle leads to the obstruction of bronchi, lymphatic vessels and small blood vessels. At present, there are not many clinical reports on the treatment of LAM thoracoscopic surgery. So this article reports a case of LAM in a middle-aged woman and reviews of the relevant literature.

Highlights

  • LAM mostly occurs in women and the etiological mechanism is currently unclear [1]

  • We found that very few patients with LAM have extrapulmonary manifestations, which are diagnosed under pathological biopsy of extrapulmonary tissues

  • Thoracoscopic surgery for LAM with pulmonary bullae can effectively reduce the recurrence rate of pneumothorax, not all patients with LAM are suitable for Video Assisted Thoracoscopic Surgery (VATS) treatment

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Summary

Conclusion

Surgical treatment of LAM under thoracoscopy is the most recent direct treatment to relieve pneumothorax. The recurrence rate of pneumothorax after thoracoscopic surgery is still high, it has been obviously reduced pneumothorax recurrence rate compared with traditional medical conservative treatment. The authors have no ethical conflicts to disclose

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