Lymphangioleiomyomatosis
Lymphangioleiomyomatosis
Updated: 11/01/2021
© Jun Wang, MD, PhD
General features
- Cystic destruction with progressive dysfunction of lung
- Proliferation of lymphatic smooth muscle-like cells
- Probably originated from perivascular epithelioid cell
- Most common in reproductive age women
- Associated with tuberous sclerosis
Key clinical features
- Most common presentations: Dyspnea, cough, pleural effusion, etc
- Pneumothorax commonly seen
Key morphological features
- Cystic changes
- Proliferation of spindle cells (LAM cells), may be nodular
Genetic abnormalities
- TSC1 and TSC2
Diagnosis
- Radiologic studies: Cystic changes
- Pathological identification of LAM cells
Markers
- Positive: HMB45
Treatment
- Treatments of complications
- Lung function improvement
- Lung transplantation
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