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Lymphangioleiomyomatosis with Tuberous Sclerosis Complex-A Case Study.
Aleksandra Marciniak1, Jolanta Nawrocka-Rutkowska1, Agnieszka Brodowska1
1Department of Gynecology, Endocrinology and Gynecological Oncology, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland.
Journal of Personalized Medicine
|November 25, 2023
Summary
Lymphangioleiomyomatosis (LAM) is a rare lung disease affecting women, causing cysts and tumors. This case highlights LAM with Tuberous Sclerosis (TSC), focusing on abdominal symptoms and treatment with mTOR inhibitors.
Area of Science:
- Oncology
- Pulmonology
- Genetics
Background:
- Lymphangioleiomyomatosis (LAM) is a rare, progressive lung disease primarily affecting women of reproductive age.
- It involves lung cysts, lymphatic system abnormalities, and kidney tumors, and can be associated with Tuberous Sclerosis (TSC).
- The cellular origin of LAM remains undetermined.
Observation:
- This report details a case of LAM co-occurring with TSC.
- The patient presented with symptoms predominantly affecting the abdominal cavity, including lymph node and chyloperitoneum involvement.
- This presentation expands the understanding of LAM's diverse clinical manifestations.
Findings:
- The case underscores the importance of considering abdominal LAM manifestations, even when lung involvement is not the primary concern.
- It reinforces the association between LAM and TSC, suggesting shared underlyingPathways.
- Diagnostic and therapeutic strategies for LAM, including mTOR inhibitors, are crucial.
Implications:
- This case broadens the clinical spectrum of LAM and TSC, emphasizing the need for comprehensive abdominal evaluations.
- It highlights the potential for LAM to present with significant abdominal pathology.
- Further research into LAM cell origins and optimal treatment strategies, particularly for complex cases, is warranted.

