Liote H, Milleron B, Malka M, Mayaud C, Merlier J, Roland J, Akoun G
Poumon Coeur. 1983;39(6):309-13.
Mycosis fungoides is today classified amongst the cutaneous T lymphomas. The course of the disease is slow, first strictly dermatological, then with polyvisceral spread most often presenting as lymphadenopathy. Pulmonary involvement, with a poor prognosis, is often recognised only at autopsy. The differential diagnosis between pulmonary involvement by the disease and isolated or associated opportunistic infectious pathology is virtually impossible during the patient's lifetime except by surgical lung biopsy. The case reported here illustrates these data and has the particular feature of the onset of pulmonary involvement during cutaneous remission of the disease, contrasting with the visceral spread found at autopsy.
蕈样肉芽肿如今被归类为皮肤T细胞淋巴瘤。该病病程缓慢，起初严格局限于皮肤，随后常出现多脏器播散，最常见的表现为淋巴结病。肺部受累预后较差，往往仅在尸检时才被发现。在患者生前，除了通过外科肺活检外，几乎不可能区分该病的肺部受累与孤立性或合并存在的机会性感染性病变。本文报道的病例说明了这些情况，其特殊之处在于肺部受累发生在疾病的皮肤缓解期，与尸检时发现的内脏播散情况形成对比。
