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. 1988;99:57–67.

Lymphangiomyomatosis: a respiratory illness with an endocrinologic therapy.

H O Sieker 1, K S McCarty Jr 1
PMCID: PMC2376424  PMID: 3503438

Abstract

Lymphangiomyomatosis should be considered when unexplained dyspnea, pneumothorax, pleural effusion or infiltrative radiographic changes occurs in a woman of childbearing age. Radiographic and pulmonary function peculiarities help in the diagnosis and evaluation of results of treatment. Diagnosis is dependent on lung biopsy and preferably identification of hormonal receptors. Endocrinological manipulation, in this study with medroxyprogesterone, decreased disability, morbidity and progression of this otherwise fatal illness. Early diagnosis and institution of treatment would appear to provide the best result.

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Selected References

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  1. Adamson D., Heinrichs W. L., Raybin D. M., Raffin T. A. Successful treatment of pulmonary lymphangiomyomatosis with oophorectomy and progesterone. Am Rev Respir Dis. 1985 Oct;132(4):916–921. doi: 10.1164/arrd.1985.132.4.916. [DOI] [PubMed] [Google Scholar]
  2. Bevelaqua F. A., Epstein H. Pulmonary lymphangiomyomatosis. Long-term survival in a patient with poor response to medroxyprogesterone. Chest. 1985 Apr;87(4):552–553. doi: 10.1378/chest.87.4.552. [DOI] [PubMed] [Google Scholar]
  3. Brentani M. M., Carvalho C. R., Saldiva P. H., Pacheco M. M., Oshima C. T. Steroid receptors in pulmonary lymphangiomyomatosis. Chest. 1984 Jan;85(1):96–99. doi: 10.1378/chest.85.1.96. [DOI] [PubMed] [Google Scholar]
  4. Brock E. T., Votto J. J. Lymphangioleiomyomatosis: treatment with hormonal manipulation. N Y State J Med. 1986 Oct;86(10):533–536. [PubMed] [Google Scholar]
  5. Bush J. K., McLean R. L., Sieker H. O. Diffuse lung disease due to lymphangiomyoma. Am J Med. 1969 Apr;46(4):645–654. doi: 10.1016/0002-9343(69)90084-9. [DOI] [PubMed] [Google Scholar]
  6. Capron F., Ameille J., Leclerc P., Mornet P., Barbagellata M., Reynes M., Rochemaure J. Pulmonary lymphangioleiomyomatosis and Bourneville's tuberous sclerosis with pulmonary involvement: the same disease? Cancer. 1983 Sep 1;52(5):851–855. doi: 10.1002/1097-0142(19830901)52:5<851::aid-cncr2820520518>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]
  7. Carrington C. B., Cugell D. W., Gaensler E. A., Marks A., Redding R. A., Schaaf J. T., Tomasian A. Lymphangioleiomyomatosis. Physiologic-pathologic-radiologic correlations. Am Rev Respir Dis. 1977 Dec;116(6):977–995. doi: 10.1164/arrd.1977.116.6.977. [DOI] [PubMed] [Google Scholar]
  8. Corrin B., Liebow A. A., Friedman P. J. Pulmonary lymphangiomyomatosis. A review. Am J Pathol. 1975 May;79(2):348–382. [PMC free article] [PubMed] [Google Scholar]
  9. Graham M. L., 2nd, Spelsberg T. C., Dines D. E., Payne W. S., Bjornsson J., Lie J. T. Pulmonary lymphangiomyomatosis: with particular reference to steroid-receptor assay studies and pathologic correlation. Mayo Clin Proc. 1984 Jan;59(1):3–11. doi: 10.1016/s0025-6196(12)60333-4. [DOI] [PubMed] [Google Scholar]
  10. Luna C. M., Gené R., Jolly E. C., Nahmod N., Defranchi H. A., Patiño G., Elsner B. Pulmonary lymphangiomyomatosis associated with tuberous sclerosis. Treatment with tamoxifen and tetracycline-pleurodesis. Chest. 1985 Sep;88(3):473–475. doi: 10.1378/chest.88.3.473. [DOI] [PubMed] [Google Scholar]
  11. McCarty K. S., Jr, Mossler J. A., McLelland R., Sieker H. O. Pulmonary lymphangiomyomatosis responsive to progesterone. N Engl J Med. 1980 Dec 18;303(25):1461–1465. doi: 10.1056/NEJM198012183032506. [DOI] [PubMed] [Google Scholar]
  12. Merchant R. N., Pearson M. G., Rankin R. N., Morgan W. K. Computerized tomography in the diagnosis of lymphangioleiomyomatosis. Am Rev Respir Dis. 1985 Feb;131(2):295–297. doi: 10.1164/arrd.1985.131.2.295. [DOI] [PubMed] [Google Scholar]
  13. Miller W. T., Cornog J. L., Jr, Sullivan M. A. Lymphangiomyomatosis. A clinical-roentgenologic-pathologic syndrome. Am J Roentgenol Radium Ther Nucl Med. 1971 Mar;111(3):565–572. doi: 10.2214/ajr.111.3.565. [DOI] [PubMed] [Google Scholar]
  14. Sawicka E. H., Morris A. J. A report of two long-surviving cases of pulmonary lymphangioleiomyomatosis and the response to progesterone therapy. Br J Dis Chest. 1985 Oct;79(4):400–406. doi: 10.1016/0007-0971(85)90077-4. [DOI] [PubMed] [Google Scholar]
  15. Silverstein E. F., Ellis K., Wolff M., Jaretzki A., 3rd Pulmonary lymphangiomyomatosis. Am J Roentgenol Radium Ther Nucl Med. 1974 Apr;120(4):832–850. doi: 10.2214/ajr.120.4.832. [DOI] [PubMed] [Google Scholar]
  16. Stovin P. G., Lum L. C., Flower C. D., Darke C. S., Beeley M. The lungs in lymphangiomyomatosis and in tuberous sclerosis. Thorax. 1975 Oct;30(5):497–509. doi: 10.1136/thx.30.5.497. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Tomasian A., Greenberg M. S., Rumerman H. Tamoxifen for lymphangioleiomyomatosis. N Engl J Med. 1982 Mar 25;306(12):745–746. doi: 10.1056/NEJM198203253061215. [DOI] [PubMed] [Google Scholar]
  18. Valensi Q. J. Pulmonary lymphangiomyoma, a probable forme frust of tuberous sclerosis. A case report and survey of the literature. Am Rev Respir Dis. 1973 Dec;108(6):1411–1415. doi: 10.1164/arrd.1973.108.6.1411. [DOI] [PubMed] [Google Scholar]

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