局限性纵隔淋巴结淀粉样变性在系列CT上显示出异常的不同步增大和钙化模式。

Localized mediastinal lymph node amyloidosis showing an unusual unsynchronized pattern of enlargement and calcification on serial CT.

作者信息

Matsuguma H, Suzuki H, Ishikawa Y, Nakahara R, Izumi T, Igarashi S, Miyazawa N

机构信息

Department of Thoracic Surgery, Division of Thoracic Surgery, 4-9-13 Yohnan, Utsunomiya, Tochigi 320-0834, Japan.

出版信息

Br J Radiol. 2008 Sep;81(969):e228-30. doi: 10.1259/bjr/22456532.

DOI:10.1259/bjr/22456532

PMID:18769010

Abstract

Amyloidosis is an unusual cause of mediastinal lymphadenopathy. A localized form of amyloidosis manifesting solely in the intrathoracic lymphnode is extremely rare. We describe a case of intrathoracic lymphadenopathy caused by a localized form of amyloidosis. Calcification has been reported in amyloidosis; however, it has been considered as non-specific. In our case, serial CT carried out over a period of 3 years and 3 months showed an unusual and unsynchronized pattern of enlargement and calcification.

摘要

淀粉样变性是纵隔淋巴结肿大的一种罕见病因。仅表现为胸内淋巴结肿大的局限性淀粉样变性极为罕见。我们报告一例由局限性淀粉样变性引起的胸内淋巴结肿大病例。淀粉样变性中曾有钙化的报道；然而，钙化被认为是非特异性的。在我们的病例中，为期3年零3个月的系列CT显示出一种不寻常且不同步的肿大和钙化模式。