Schaeffler F, Kos S
Institut für Radiologie, Universitätsspital Basel, Basel.
Praxis (Bern 1994). 2009 Sep 23;98(19):1097-100. doi: 10.1024/1661-8157.98.19.1097.
Primary pulmonary amyloidosis is rare. Three patterns of involvement have been described: tracheobronchial, nodular and diffuse parenchymal. The nodular parenchymal amyloid deposits are often multiple, much less common focal. We hereby present a case of a 70 year old patient, a former smoker, with coincidentally diagnosed solitary, pulmonary nodule, a rather common finding in CT. The list of differential diagnosis is long, as shown above, the amyloidosis is a quite uncommon cause, but it should be kept in mind.
原发性肺淀粉样变性较为罕见。已描述了三种受累模式:气管支气管型、结节型和弥漫性实质型。结节性实质淀粉样沉积通常为多发,局灶性的则少见得多。我们在此报告一例70岁患者,既往有吸烟史,偶然诊断为孤立性肺结节,这在CT检查中是相当常见的发现。鉴别诊断的范围很广,如上所示,淀粉样变性是一种相当罕见的病因,但应予以考虑。