Department of Radiology and Center for Imaging, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.
Department of Pathology, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.
Korean J Radiol. 2014 Mar-Apr;15(2):295-9. doi: 10.3348/kjr.2014.15.2.295. Epub 2014 Mar 7.
Diffuse pulmonary lymphangiomatosis (DPL) is a rare lymphatic disorder characterized by lymphatic channel proliferation. It is mostly reported in children and young adults. Here, we report a case involving a 52-year-old asymptomatic woman who presented with increased interstitial markings, as seen on a chest radiograph. Diffuse interstitial septal thickening was found on a serial follow-up chest computed tomography scan, and lymphangitic metastasis was the primary radiologic differential diagnosis. However, histologic sections of wedge resected lung revealed diffuse pleural and interlobular septal lymphatic proliferation characteristic of DPL.
弥漫性肺淋巴管瘤病(DPL)是一种罕见的淋巴系统疾病,其特征为淋巴管增生。它主要发生在儿童和青年。在此,我们报告一例 52 岁无症状女性患者,其胸部 X 线片显示间质性纹理增多。连续随访的胸部 CT 扫描发现弥漫性间质间隔增厚,淋巴管转移是主要的影像学鉴别诊断。然而,楔形切除肺组织的组织学切片显示弥漫性胸膜和小叶间隔淋巴管增生,符合 DPL 的特征。