Shaker K G, Umali C B, Fraire A E
Division of Pulmonary and Critical Care Medicine, University of Massachusetts Medical School, Worcester, USA.
Pathol Int. 1995 Oct;45(10):762-6. doi: 10.1111/j.1440-1827.1995.tb03394.x.
A 17 year old female was seen because of a non-productive cough and one episode of blood-tinged sputum. A computerized tomography (CT) scan of the chest showed multiple small cystic lucencies in the upper lobes. The mediastinal CT window revealed concurrent mediastinal lymphadenopathy. An open lung biopsy showed Langerhans' cell histiocytosis (LCH). The significance of nodal involvement in LCH of the lung is not known, but raises the possibility of regional LCH and warrants a further search for bone or visceral involvement as well as closer follow-up and monitoring of patients.
一名17岁女性因干咳和一次痰中带血就诊。胸部计算机断层扫描（CT）显示上叶有多个小的囊性透亮区。纵隔CT窗显示同时存在纵隔淋巴结肿大。开胸肺活检显示朗格汉斯细胞组织细胞增多症（LCH）。肺LCH中淋巴结受累的意义尚不清楚，但增加了局部LCH的可能性，需要进一步检查是否有骨骼或内脏受累，并对患者进行更密切的随访和监测。
