Meirelles G S P, Kavakama J I, Jasinowodolinski D, Nery L E, Terra-Filho M, Rodrigues R T, Neder J A, Bagatin E, D'ippolito G
Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.
Rev Port Pneumol. 2005 Sep-Oct;11(5):477-85. doi: 10.1016/s0873-2159(15)30519-5.
Pleural and pulmonary asbestos-related diseases range from benign conditions, like pleural effusion and pleural plaques, to some neoplasias, such as lung cancer and malignant mesothelioma. Pleural effusion is the earliest finding after asbestos exposure, but the imaging findings are not specific. Diffuse pleural thickening involves the visceral pleura and pleural plaques are considered to be hallmarks of exposure. Asbestosis is the pulmonary fibrosis due to asbestos. Rounded atelectasis is a peripheral lung collapse in these individuals, generally related to pleural disease. Some neoplasias, like lung carcinoma and pleural mesothelioma, are more prevalent in asbestos-exposed subjects. The aim of this essay is to illustrate the main imaging findings of asbestos-related diseases.
胸膜和肺部与石棉相关的疾病范围广泛,从良性病症,如胸腔积液和胸膜斑,到一些肿瘤,如肺癌和恶性间皮瘤。胸腔积液是石棉暴露后最早出现的表现,但影像学表现不具有特异性。弥漫性胸膜增厚累及脏层胸膜,胸膜斑被认为是石棉暴露的标志。石棉肺是由石棉导致的肺纤维化。圆形肺不张是这些个体中出现的外周肺萎陷,通常与胸膜疾病有关。一些肿瘤,如肺癌和胸膜间皮瘤,在石棉暴露人群中更为常见。本文的目的是阐述与石棉相关疾病的主要影像学表现。