Romeu J, Sirera G, Rincón R, Inaraja L, Ojanguren I, Tor J, Clotet B
Servicio de Medicina Interna (Unidad de Enfermedades Infecciosas), Hospital de Badalona Germans Trias i Pujol, Universidad Autónoma, Barcelona.
Med Clin (Barc). 1991 May 11;96(18):696-9.
Pulmonary Kaposi's sarcoma (KS) was diagnosed by pulmonary biopsy in a heterosexual parenteral drug abuser (PDA). The patient had previously been diagnosed of Pneumocystis carinii pneumonia and pulmonary tuberculosis. Thoracic computed tomography (CT) showed bilateral nodular lesions which were less apparent in conventional radiological study and which increased in size in spite of correct therapy. As cutaneous lesions suggesting KS subsequently appeared, the possibility of pulmonary KS was considered and confirmed by open biopsy. The rarity of a primarily pulmonary presentation of KS in a PDA, the difficulty in diagnosis owing to concomitant infective diseases and the diagnostic value of thoracic CT for the diagnosis of pulmonary KS are discussed.
在一名异性恋注射吸毒者（PDA）中，通过肺活检诊断出肺卡波西肉瘤（KS）。该患者此前已被诊断患有卡氏肺孢子虫肺炎和肺结核。胸部计算机断层扫描（CT）显示双侧结节性病变，这些病变在传统放射学检查中不太明显，尽管治疗正确，但病变仍增大。由于随后出现提示KS的皮肤病变，考虑到肺KS的可能性并通过开放性活检得以证实。本文讨论了PDA中KS以肺部为主要表现的罕见性、由于合并感染性疾病导致的诊断困难以及胸部CT对肺KS诊断的价值。
