The Miles Trial

LAM Scientific Slides

Scientific Slides of Lymphangioleiomyomatosis (LAM)

 Alpha Actin
1. Alpha Actin

 

 

 


AML
2. AML

 Chylo Thorax
3. Chylo Thorax

 Close Cysts
4. Close Cysts

 Expanded Septa
5. Expanded Septa

 Gross LAM
6. Gross LAM

 HMB 45
7. HMB 45

 HRCT LAM
8. HRCT LAM

 Lung Histopath
9. Lung Histopath

 

 
Figure 1
High resolution CT scan of the chest in a patient with LAM. Note the diffuse replacement of the pulmonary parenchyma with thin walled cysts.
 HRCT
Figure 2
Abdominal CT scan in a LAM patient with an angiomyolipoma. Note the diffuse involvement of the right kidney with an angiomyolipoma. Observe solid and fat density which is characteristic of angiomyolipomas. Abdominal CT scanning is positive in over 75% of patients.
 Abdominal CT Scan
 
Figure 3
CT or MRI scanning of the brain is recommended at least once in the lifetime of all S-LAM patients to rule out findings of subclinical TSC such as cortical tubers, subependymal nodules or subependymal giant cell astrocytomas.

CT scan of the head in two patients with tuberous sclerosis. Subependymal nodules are present in panel a. Cortical tubers are present in panel b.

Subependymal nodules
Fig. a

 Cortical tubers
Fig. b

 
Figure 4
Pathological features of LAM. Normal lung tissue with type II cells stained with antibody to surfactant protein A is shown. In panel b, an alveolar septal wall is expanded with spindle shaped and Epithelioid LAM cells. HMB 45 staining is shown in panel c. Cystic remodeling of the pulmonary parenchyma is shown in panel d. 
 

Fig 4a
Fig. a

 Fig. 4b
Fig. b

 Fig C
Fig. c

 Fig 4d
Fig. d

 

 

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