Lee Eun Kyoung, Kim Jeung Sook, Kim Yookyung, Park Jai Soung
Department of Radiology, Dongguk University Ilsan Hospital, Goyang, Korea.
Department of Radiology, Ewha Womans University Mokdong Hospital, Seoul, Korea.
J Korean Med Sci. 2015 Dec;30(12):1896-901. doi: 10.3346/jkms.2015.30.12.1896. Epub 2015 Nov 30.
Asbestos related pleuropulmonary disease has been emerging health problem for recent years. It can cause variable clinical symptoms and radiological abnormalities. However, there has been no report for their characteristics in subjects who were environmentally exposed to asbestos. We reviewed the CT images of 35 people who were environmentally exposed to asbestos in Chungnam province, Korea. The study result showed high incidence of pleural plaque and pulmonary fibrosis on chest CT (94% and 77%, respectively). The common CT findings of lung parenchymal lesions were as follows: centrilobular opacities (94%), subpleural dot-like or branching opacities (80%), interlobular septal thickening (57%), intralobular interstitial thickening (46%), parenchymal bands (43%) and subpleural curvilinear line (29%). There were no significant differences in the prevalence of pulmonary fibrosis and pleural plaques according to sex, age and duration of exposure. In conclusion, pleural plaque and pulmonary fibrosis are common asbestos-related CT finding in the exposed people. Asbestos related lung parenchymal CT findings in the participants with environmental exposure show similar to those observed in the occupational exposure.
近年来,石棉相关的胸膜肺部疾病已成为一个日益突出的健康问题。它可导致多种临床症状和影像学异常。然而,关于环境暴露于石棉的人群中这些疾病特征的报道却很少。我们回顾了韩国忠南省35名环境暴露于石棉的人员的CT图像。研究结果显示,胸部CT上胸膜斑和肺纤维化的发生率很高(分别为94%和77%)。肺实质病变的常见CT表现如下:小叶中心性混浊(94%)、胸膜下点状或分支状混浊(80%)、小叶间隔增厚(57%)、小叶内间质增厚(46%)、实质带(43%)和胸膜下曲线(29%)。根据性别、年龄和暴露时间,肺纤维化和胸膜斑的患病率没有显著差异。总之,胸膜斑和肺纤维化是暴露人群中常见的石棉相关CT表现。环境暴露参与者中与石棉相关的肺实质CT表现与职业暴露者中观察到的相似。