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J. bras. pneumol ; 33(2): 229-233, mar.-abr. 2007. ilus
Article in Portuguese | LILACS | ID: lil-459296

ABSTRACT

A linfangiomatose, doença rara e de origem controversa, ocorre em indivíduos de todas as faixas etárias, predominando entre os mais jovens, sem predileção por sexo. Comumente cursa com envolvimento torácico, porém órgãos como ossos, baço e fígado podem ser acometidos. Histologicamente, o envolvimento pulmonar cursa com proliferação, anastomoses complexas e dilatação secundária do sistema linfático. Clinicamente, a apresentação é variável. Os achados radiográficos podem ser sugestivos e o diagnóstico é definido pela histologia. Relatamos dois casos da doença; uma das pacientes era oligossintomática e encontra-se em tratamento; na outra, a doença foi mais agressiva e o diagnóstico muito tardio, culminando em óbito.


Lymphangiomatosis, a rare diseases of controversial origin, occurs in individuals of any age, regardless of gender, but is predominantly seen in younger individuals. It often presents with thoracic involvement, although, the bones, spleen and liver can also be affected. Histologically, the pulmonar involvement includes proliferation, complex anastomoses and secondary dilatation of the lymphatic vessels. Clinically, the presentation is variable. Although radiographic findings can be suggestive of the disease, the final diagnosis is made histologically. We report two cases of lymphangiomatosis, both in females: one was oligosymptomatic and is being treated for the disease; the other had a more progressive form, was diagnosed quite late and ultimately died of the disease.


Subject(s)
Adult , Female , Humans , Lymphangioleiomyomatosis/diagnosis , Angiogenesis Inhibitors/therapeutic use , Biopsy , Diagnostic Imaging , Fatal Outcome , Immunohistochemistry , Interferon-alpha/therapeutic use , Lymphangioleiomyomatosis/drug therapy , Lymphangioleiomyomatosis/pathology , Lymphangioleiomyomatosis , Lymphatic System/pathology , Pleural Effusion
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