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(Chest. 1994;106:1267-1269.)
© 1994 American College of Chest Physicians

Pelvic Lymphangioleiomyomatosis

Atypical Precursor to Pulmonary Disease

Jeffrey C. Ernst B.S.1; Roya Sohaey M.D2; and Jeffrey M. Cary M.D.3

1 From the University of Washington School of Medicine
2 From the Division of Ultrasonography, the Swedish Hospital Medical Center-Seattle
3 From the Department of Pulmonary Medicine, the Swedish Hospital Medical Center-Seattle

A 22-year-old woman presented with left pelvic pain and mass. Ultrasonography confirmed a multilocular left adnexal mass containing cysts of varying sizes. The patient had no pulmonary symptoms at the time of presentation. The mass was surgically excised and pathologic diagnosis of lymphangioleiomyomatosis (LAM) was made. Subsequently, she developed hemoptysis and pleural effusion. High-resolution computed tomography of the chest showed findings consistent with LAM. Early diagnosis and treatment for LAM was possible in this atypical case.




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Copyright © 1994 by the American College of Chest Physicians.