Suzuki Hidekazu, Matsui Kaoru, Hirashima Tomonori, Kobayashi Masashi, Sasada Sinji, Okamato Norio, Kitai Naoko, Kawahara Kunimitsu, Fukuda Haruyuki, Komiya Takefumi, Kawase Ichiro
Department of Thoracic Malignancy, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Habikino.
Intern Med. 2006;45(5):283-6. doi: 10.2169/internalmedicine.45.1487. Epub 2006 Apr 3.
Longterm observation with chest radiograph and computed tomography (CT) scan was performed for pulmonary amyloidosis. There are few reports of primary pulmonary amyloidosis with a longterm observation. We encountered three cases of nodular pulmonary amyloidosis observed by intermittent chest radiograph or CT for 5 years or more. The patients were a 54-year-old man, and 67- and 68-year old women. For diagnosis, transbronchial biopsy and percutaneous lung biopsy were performed. Amyloid nodules grew slowly and two cases showed findings of cavity and calcification.
对肺淀粉样变性进行了胸部X光片和计算机断层扫描(CT)的长期观察。关于原发性肺淀粉样变性的长期观察报告很少。我们遇到了三例通过间歇性胸部X光片或CT观察5年以上的结节性肺淀粉样变性病例。患者分别为一名54岁男性以及两名67岁和68岁的女性。为明确诊断,进行了经支气管活检和经皮肺活检。淀粉样结节生长缓慢,两例出现空洞和钙化表现。