Lacronique J, Roth C, Battesti J P, Basset F, Chretien J
Thorax. 1982 Feb;37(2):104-9. doi: 10.1136/thx.37.2.104.
This study describes the chest radiographs of 50 adult patients with histologically verified histiocytosis X, proposes a radiological classification, and examines the role of radiology in assessing the prognosis of the disease. Radiologically the lesions predominate in the middle and lower lung fields, usually sparing the costophrenic angles, and are typically micronodular, reticular, or cystic. These features are especially suggestive of histiocytosis X if lung volume is normal or increased, there is an associated pneumothorax, they occur in a young male and there are no other intrathoracic changes (pleural or mediastinal). The three evolutionary patterns of improvement, stabilisation, and worsening are analysed with respect to the initial radiological features; one which carries a good prognosis is sparing of both costophrenic angles.
本研究描述了50例经组织学证实的组织细胞增多症X成年患者的胸部X线片，提出了一种放射学分类方法，并探讨了放射学在评估该疾病预后中的作用。从放射学角度来看，病变主要位于肺中、下野，通常不累及肋膈角，典型表现为小结节状、网状或囊性。如果肺容积正常或增大、伴有气胸、发生在年轻男性且无其他胸内改变（胸膜或纵隔），这些特征尤其提示组织细胞增多症X。根据初始放射学特征分析了改善、稳定和恶化这三种演变模式；一种预后良好的模式是双侧肋膈角均未受累。
