Thamkittikun Chalisa, Tovichien Prakarn
Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
World J Clin Cases. 2024 Sep 26;12(27):6020-6026. doi: 10.12998/wjcc.v12.i27.6020.
In this editorial, we discuss the clinical implications of the article "Lymphatic plastic bronchitis and primary chylothorax: A study based on computed tomography lymphangiography" published by Li . Pulmonary lymphatic disorders involve abnormalities in the lymphatic tissues within the thoracic cavity. Specifically, pulmonary lymphatic perfusion syndrome describes a condition where the flow of lymphatic fluid in the lungs is redirected towards abnormally widened lymphatic vessels. Clinically, individuals with this syndrome may experience symptoms such as chyloptysis, plastic bronchitis (PB), chylothorax, chylopericardium, and interstitial lung disease. These disorders can be caused by various factors, including PB, chylothorax, and complex lymphatic malformations. Advancements in lymphatic imaging techniques, such as intranodal lymphangiography, computed tomography lymphangiography, and dynamic contrast-enhanced magnetic resonance lymphangiography, have enabled the detection of abnormal lymphatic flow. This has enhanced our understanding of the pathophysiology of these conditions. Additionally, innovative minimally invasive treatments, such as thoracic duct embolization, selective embolization of lymphatic channels, and surgical procedures aim to improve clinical condition of patients and address their dietary needs.
在这篇社论中，我们讨论了李发表的文章《淋巴性塑料支气管炎和原发性乳糜胸：基于计算机断层扫描淋巴管造影的研究》的临床意义。肺部淋巴系统疾病涉及胸腔内淋巴组织的异常。具体而言，肺淋巴灌注综合征描述的是一种情况，即肺部淋巴液的流动被重新导向异常增宽的淋巴管。临床上，患有这种综合征的个体可能会出现诸如乳糜痰、塑料支气管炎（PB）、乳糜胸、乳糜心包和间质性肺病等症状。这些疾病可能由多种因素引起，包括PB、乳糜胸和复杂的淋巴管畸形。淋巴成像技术的进步，如结内淋巴管造影、计算机断层扫描淋巴管造影和动态对比增强磁共振淋巴管造影，使得能够检测到异常的淋巴液流动。这增强了我们对这些疾病病理生理学的理解。此外，创新的微创治疗方法，如胸导管栓塞、淋巴管选择性栓塞和外科手术，旨在改善患者的临床状况并满足他们的饮食需求。
