Hong Sung Cheol, Kim Lucia, Lee Min Kyung, Lee Hong Lyeol, Lee Kyung Hee
J Korean Soc Radiol. 2024 May;85(3):631-636. doi: 10.3348/jksr.2023.0024. Epub 2024 Mar 8.
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.
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。