PELVIC LYMPHANGIOLEIOMYOMATOSIS - ATYPICAL PRECURSOR TO PULMONARY-DISEASE

A 22-year-old woman presented with left pelvic pain and mass. Ultrason ography confirmed a multilocular left adnexal mass containing cysts of varying sizes. The patient had no pulmonary symptoms at the time of p resentation. The mass was surgically excised and pathologic diagnosis of lymphangioleiomyomatosis (LAM) was made. Subsequently, she develope d 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.