Pulmonary vascular sclerosis in an albino rat with leukemia

The animal investigated was a two years old male control Sprague-Dawley rat which died spontaneously during a carcinogenicity study. Post-mortem examination disclosed hepatic and splenic enlargement. At microscopical examination, massive leucaemic infiltration was observed in many tissues/organs, including bone marrow, spleen, liver and renal blood vessels. A very unusual finding was observed in the lung, consisting of scattered micronodules which replaced most of the lung parenchyma. They contained collagen, displaying a somewhat circular distribution at the periphery of the lesions, fibrin, leukemic cells and fibroblasts. Immunostaining for desmin revealed the presence of smooth muscle fibers within the nodules, while staining for elastic fibers showed clearly that the internal and external elastic membranes were identifiable within the nodules. The diagnosis of pulmonary vascular sclerosis was made on the basis of microscopical and immunohistochemical findings.