Multicystic Alveolar Adenoma in a Symptomatic Adult with Extensive Bullae and Mediastinal Shift

Lindsay Volk,Christine Minerowicz,Siavash Saadat,John E Langenfeld

doi:10.31487/j.scr.2020.03.03

Abstract

We present a unique case of alveolar adenoma with extensive bullous disease in a young female patient that presented as left sided pleuritic chest pain and shortness of breath. The patient had a pneumothorax and mediastinal shift. She underwent upper lobectomy that resulted in relative a resolution of the mediastinal shift. We discuss the unique clinical and pathologic presentation of this rare benign neoplasm in this patient.

Highlights

We present a unique case of alveolar adenoma with extensive bullous disease in a young female patient that presented as left sided pleuritic chest pain and shortness of breath
Alveolar adenoma was first reported in the literature in 1986 as a benign neoplasm comprised of both alveolar epithelium and mesenchyme [1]
The most common presentation is of an asymptomatic solitary, peripheral lesion that is incidentally discovered on chest imaging [2-6]

Summary

Introduction

Alveolar adenoma was first reported in the literature in 1986 as a benign neoplasm comprised of both alveolar epithelium and mesenchyme [1]. We present a unique case of alveolar adenoma with extensive bullous disease in a young female patient that presented as left sided pleuritic chest pain and shortness of breath. We discuss the unique clinical and pathologic presentation of this rare benign neoplasm in this patient. Alveolar adenomas rarely present as a solitary cystic lesion [4, 6-8].

Results

Conclusion