Table of Contents
Definition / general | Essential features | Etiology | Case reports | Treatment | Gross description | Gross images | Microscopic (histologic) description | Microscopic (histologic) images | Positive stains | Negative stains | Differential diagnosisCite this page: Leiomyomatosis-like lymphangioleiomyomatosis. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/colontumorLAM.html. Accessed July 14th, 2017.
Definition / general
- Multiple lymphangioleiomyomatosis-like lesions involving the colonic wall
Essential features
- Unusual manifestation of tuberous sclerosis in the colon
- Extremely rare (one case report)
Etiology
- Almost certainly a manifestation of tuberous sclerosis
Case reports
- 30 year old Chinese woman with tuberous sclerosis and renal angiomyolipoma (Mod Pathol 2001;14:1141)
Treatment
- Resection
Gross description
- Diffuse nodular thickening of colonic wall
Microscopic (histologic) description
- Mural and mesenteric nodules of spindled cells with elongated nuclei
- Smooth muscle cells arising in vein walls and melding with lymphatic walls
- Minimal pleomorphism, no mitotic figures
Microscopic (histologic) images
Positive stains
- HMB45 (epithelial cells only), smooth muscle actin, desmin and vimentin
Differential diagnosis
- Leiomyoma and leiomyomatosis: negative for HMB45; no link with tuberous sclerosis


