Lim Kun Eng, Tsai Ying Huang, Hsu Yl Yuan li, Hsu Wc Wen chen
Department of Radiology, Chang Gung Memorial Hospital, 5 Fu Hsin Road, Kwei Hsan Hsiang, Taoyuan Hsien, Taipei, Taiwan.
Clin Imaging. 2004 Jan-Feb;28(1):1-5. doi: 10.1016/S0899-7071(03)00030-5.
We retrospectively evaluated the high-resolution computed tomographic (HRCT) findings in 11 women patients with pulmonary lymphangioleiomyomatosis (LAM). Numerous, thin-walled cysts distributed diffusely throughout the lungs and ranged in size from a few millimeters to several centimeters were seen on HRCT in all patients. Other findings at HRCT included interlobular septal thickening (six patients), ground-glass opacity (one patient) and architectural distortion (one patient). Our study found that HRCT imaging findings were similar to the literatures reported, except that majority of our cases also have interstitial changes. HRCT may help establish this diagnosis when diagnosis by clinical findings is uncertain and chest radiographs showed normal or nonspecific findings.
我们回顾性评估了11例女性肺淋巴管平滑肌瘤病(LAM)患者的高分辨率计算机断层扫描(HRCT)表现。所有患者的HRCT均显示肺部弥漫分布着无数薄壁囊肿,大小从几毫米到几厘米不等。HRCT的其他表现包括小叶间隔增厚(6例)、磨玻璃影(1例)和结构扭曲(1例)。我们的研究发现,HRCT影像学表现与文献报道相似,只是我们的大多数病例也有间质改变。当临床检查诊断不明确且胸部X线片显示正常或非特异性表现时,HRCT有助于确诊。