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[肺癌胸膜转移合并胸膜实质纤维弹性组织增生症：1例报告]

[Pleural Metastasis of Lung Cancer Combined with Pleuroparenchymal Fibroelastosis: A Case Report].

作者信息

Hong Sung Cheol, Kim Lucia, Lee Min Kyung, Lee Hong Lyeol, Lee Kyung Hee

出版信息

J Korean Soc Radiol. 2024 May;85(3):631-636. doi: 10.3348/jksr.2023.0024. Epub 2024 Mar 8.

DOI:10.3348/jksr.2023.0024
PMID:38873385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11166600/
Abstract

Pleural metastasis is the most common cause of malignant diseases involving the pleura, and characterized by pleural effusion, nodules, and thickening. Pleuroparenchymal fibroelastosis (PPFE) is a disease characterized by apical pleural thickening and subjacent parenchymal fibrosis. We report a case of a 60-year-old male with lung cancer in the left lower lobe and underlying PPFE combined with left apical pleural metastasis. Initially, asymmetric left apical pleural thickening due to pleural metastasis was mistaken for PPFE. Additionally, we describe the imaging and histopathological findings of PPFE, including MRI findings.

摘要

胸膜转移是累及胸膜的恶性疾病最常见的原因，其特征为胸腔积液、结节和增厚。胸膜实质纤维弹性组织增生症（PPFE）是一种以肺尖胸膜增厚及相邻实质纤维化 为特征的疾病。我们报告一例60岁男性，左下叶肺癌合并潜在的PPFE并伴有左肺尖胸膜转移。最初，胸膜转移所致的不对称性左肺尖胸膜增厚被误诊为PPFE。此外，我们描述了PPFE的影像学和组织病理学表现，包括MRI表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c3/11166600/730d6f588c01/jksr-85-631-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c3/11166600/730d6f588c01/jksr-85-631-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c3/11166600/730d6f588c01/jksr-85-631-g001.jpg

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本文引用的文献

1
Pleuroparenchymal fibroelastosis: Clinical, radiological and histopathological features.胸膜实质纤维弹性组织增生症：临床、影像学及组织病理学特征
Respir Med. 2022 Jan;191:106437. doi: 10.1016/j.rmed.2021.106437. Epub 2021 May 4.
2
Pleuroparenchymal Fibroelastosis. A Review of Clinical, Radiological, and Pathological Characteristics.胸膜肺弹力纤维增生症。临床、放射学和病理学特征的综述。
Ann Am Thorac Soc. 2019 Nov;16(11):1351-1359. doi: 10.1513/AnnalsATS.201902-181CME.
3
Pleuroparenchymal fibroelastosis with positive MPO-ANCA diagnosed with a CT-guided percutaneous needle biopsy.
经CT引导下经皮穿刺针活检诊断为髓过氧化物酶抗中性粒细胞胞浆抗体（MPO-ANCA）阳性的胸膜实质纤维弹性组织增生症
BMJ Case Rep. 2018 Feb 24;2018:bcr-2017-223287. doi: 10.1136/bcr-2017-223287.
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Imaging of Metastases in the Chest: Mechanisms of Spread and Potential Pitfalls.胸部转移瘤的影像学：扩散机制及潜在陷阱
Semin Ultrasound CT MR. 2017 Dec;38(6):594-603. doi: 10.1053/j.sult.2017.07.007. Epub 2017 Aug 2.
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Unilateral Upper Lung Field Pulmonary Fibrosis Radiologically Consistent with Pleuroparenchymal Fibroelastosis after Thoracotomy: A New Disease Entity Related to Thoracotomy.术后单侧肺上叶肺纤维化影像学与胸膜肺弹力纤维增生症一致：与开胸术相关的新疾病实体。
Respiration. 2017;94(5):431-441. doi: 10.1159/000479331. Epub 2017 Sep 1.
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Multidetector CT Findings and Differential Diagnoses of Malignant Pleural Mesothelioma and Metastatic Pleural Diseases in Korea.韩国恶性胸膜间皮瘤及胸膜转移瘤的多排螺旋CT表现与鉴别诊断
Korean J Radiol. 2016 Jul-Aug;17(4):545-53. doi: 10.3348/kjr.2016.17.4.545. Epub 2016 Jun 27.
7
Subtle pleural metastasis without large effusion in lung cancer patients: preoperative detection on CT.肺癌患者无大量胸腔积液的细微胸膜转移：CT术前检测
Korean J Radiol. 2005 Apr-Jun;6(2):94-101. doi: 10.3348/kjr.2005.6.2.94.
8
18-FDG positron emission tomography in the evaluation of malignant pleural diseases - a pilot study.18氟脱氧葡萄糖正电子发射断层扫描在恶性胸膜疾病评估中的应用——一项初步研究
Eur J Cardiothorac Surg. 2000 Apr;17(4):377-83. doi: 10.1016/s1010-7940(00)00377-8.