Vanhoenacker F M, Van den Brande P, De Schepper A M
Department of Radiology, University Hospital Antwerp, Edegem, Belgium.
Eur Radiol. 2001;11(7):1184-6. doi: 10.1007/s003300000717.
A case of a 62-year-old man with known longstanding pulmonary antracosilicosis, with associated hepatosplenic antracosilicosis, is presented. A CT scan of the upper abdomen revealed multiple calcifications within the spleen, and to a lesser degree within the subcapsular region of the liver, as well as "egg-shell" calcifications of abdominal lymph nodes, most noticeable at the splenic hilum. Although histopathologically not proven, the similar appearance of the calcified hepatosplenic nodules to the small round calcifications scattered throughout the lungs, as well as the typical "egg-shell" morphology of the calcified abdominal lymph nodes, should raise the suspicion of hepatosplenic antracosilicosis.
本文报告一例62岁男性患者，已知患有长期的肺 anthracosilicosis，并伴有肝脾 anthracosilicosis。上腹部CT扫描显示脾脏内有多个钙化灶，肝脏包膜下区域也有较少程度的钙化，以及腹部淋巴结的“蛋壳样”钙化，在脾门处最为明显。尽管组织病理学上未得到证实，但钙化的肝脾结节与散在分布于肺部的小圆形钙化灶外观相似，以及钙化的腹部淋巴结典型的“蛋壳样”形态，应引起对肝脾anthracosilicosis的怀疑。
