Song Wei, Xu Ying, Jin Zheng-Yu, Wang Yun
Department of Radiology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2008 Apr;30(2):161-4.
To investigate the CT findings of thorax and abdominopelvic with pulmonary lymphangiomyomatosis.
The clinical data, CT findings, and histopathological data of 14 patients with pulmonary lymphangiomyomatosis were analyzed.
Typical high resolution CT (HRCT) findings of 14 patients with pulmonary lymphangiomyomatosis were diffusely scattered with small imperceptible-walled or thin-walled cysts (diameter < 1 cm) throughout both lungs. Other findings in thorax included: small noncalcified pulmonary nodules in 1 case, bilateral patchy shadows in 1 case, subpleural bulla in 3 cases, honeycombing sign in 1 case, mediastinal lymphadenopathy in 2 cases, pericardial effusion in 1 case, and pleural effusion in 3 cases. Nine patients had abnormal abdominopelvic findings: renal and hepatic angiomyolipoma in 1 case, retroperitoneal lymphangioleiomyoma in 6 cases, retroperitoneal lymphadenopathy in 1 case, and uterine leiomyoma in 1 case.
Pulmonary lymphangiomyomatosis has typical pectoral CT findings. It is also often accompanied with abdominopelvic abnormity with typical CT findings.
探讨肺淋巴管平滑肌瘤病的胸部及腹盆腔CT表现。
分析14例肺淋巴管平滑肌瘤病患者的临床资料、CT表现及组织病理学资料。
14例肺淋巴管平滑肌瘤病患者典型的高分辨率CT(HRCT)表现为两肺弥漫性散在分布的微小薄壁或无壁囊肿(直径<1 cm)。胸部其他表现包括:1例有小的非钙化肺结节,1例有双侧斑片状阴影,3例有胸膜下肺大疱,1例有蜂窝状改变,2例有纵隔淋巴结肿大,1例有心包积液,3例有胸腔积液。9例患者腹盆腔有异常表现:1例有肾和肝血管平滑肌脂肪瘤,6例有腹膜后淋巴管平滑肌瘤,1例有腹膜后淋巴结肿大,1例有子宫肌瘤。
肺淋巴管平滑肌瘤病有典型的胸部CT表现。其常伴有腹盆腔异常且有典型的CT表现。