肺淋巴管肌瘤病5例HRCT特征分析
摘要
目的探讨肺淋巴管肌瘤病(PLAM)的HRCT特征。方法对经病理证实的5例PLAM病例的HRCT特征表现进行回顾性分析。结果 PLAM的HRCT特征为两肺大小不等、弥漫及均匀分布的薄壁囊状影,肺纹理正常穿行于囊壁间,2例囊腔融合成肺大泡,1例伴乳糜性胸腔积液。结论育龄期女性患者出现两肺弥漫、均匀分布及大小不等的薄壁囊腔,结合临床表现可高度提示PLAM诊断。
引文
[1]刘宇.肺淋巴管平滑肌瘤病2例并文献复习[J].临床肺科杂志,2015,20(3):579-581.
[2]刘亦庸,张熙曾,魏鉴,等.一种罕见疾病-胸内淋巴管肌瘤病1例[J].中国肿瘤临床,1986,2:116-118.
[3]Ando K,Tobino K,Kurihara M,et al.Quantitative CT analysis of small pulmonary vessels in lymphangioleiomyomatosis[J].European Journal of Radiology,2012,81(12):3925-3930.
[4]Hagaman JT,Schauer DP,McC ormack FX,et al.Screening for lymphangioleiomyomatosis by high-resolution computed tomography in young,nonsmoking women presenting with spontaneous pneumothorax is cost effective[J].American journal of respiratory and critical care medicine,2010,181(12):1376-1382.
[5]闫呈新,岳云,张窅竹,等.淋巴管肌瘤病的临床及MSCT诊断[J].实用放射学杂志,2013,29(8):1253-1257.
[6]马永红,叶剑定,陈群慧,等.肺淋巴管平滑肌瘤病的HRCT随访研究[J].临床放射学杂志,2012,(6):816-819.
[7]葛全序.肺淋巴管肌瘤病的HRCT诊断[J].放射学实践,2012,27(10):1079-1081.
[8]张奇瑾,张春燕,陈孝柏,等.CT淋巴管造影对淋巴管肌瘤病淋巴回流障碍的诊断价值[J].中华放射学杂志,2013,47(9):801-804.
[9]梁辉清,关玉宝,刘海明,等.淋巴管肌瘤病的胸腹盆部影像学表现[J].临床放射学杂志,2011,30(9):1289-1292.
[10]陈孝柏,侯睿,张建梅,等.淋巴管肌瘤病的影像表现[J].中华放射学杂志,2011,45(9):841-845.
[11]JohnsonS R,Cordier JF,Lazor R,et al.European Respiratory Society guidelines for the diagnosis and management of lymphangioleiomyomatosis[J].European Respiratory Journal,2010,35:14-26.
[12]杨姗,张志勇,张兴伟,等.肺淋巴管肌瘤病的CT表现(附5例报告)[J].临床放射学杂志,2004,23(8):674-677.
[13]Tobino K,Hirai T,Johkoh T,et al.Differentiation between Birt-Hogg-Dubésyndrome and lymphangioleiomyomatosis:quantitative analysis of pulmonary cysts on computed tomography of the chest in 66 females[J].European Journal of Radiology,2012,81(6):1340-1346.
[14]周仁娣,夏进东,何国祥,等.肺淋巴管平滑肌瘤病的多层螺旋CT表现及病理基础[J].实用放射学杂志,2013,29(11):1873-1875.
[2]刘亦庸,张熙曾,魏鉴,等.一种罕见疾病-胸内淋巴管肌瘤病1例[J].中国肿瘤临床,1986,2:116-118.
[3]Ando K,Tobino K,Kurihara M,et al.Quantitative CT analysis of small pulmonary vessels in lymphangioleiomyomatosis[J].European Journal of Radiology,2012,81(12):3925-3930.
[4]Hagaman JT,Schauer DP,McC ormack FX,et al.Screening for lymphangioleiomyomatosis by high-resolution computed tomography in young,nonsmoking women presenting with spontaneous pneumothorax is cost effective[J].American journal of respiratory and critical care medicine,2010,181(12):1376-1382.
[5]闫呈新,岳云,张窅竹,等.淋巴管肌瘤病的临床及MSCT诊断[J].实用放射学杂志,2013,29(8):1253-1257.
[6]马永红,叶剑定,陈群慧,等.肺淋巴管平滑肌瘤病的HRCT随访研究[J].临床放射学杂志,2012,(6):816-819.
[7]葛全序.肺淋巴管肌瘤病的HRCT诊断[J].放射学实践,2012,27(10):1079-1081.
[8]张奇瑾,张春燕,陈孝柏,等.CT淋巴管造影对淋巴管肌瘤病淋巴回流障碍的诊断价值[J].中华放射学杂志,2013,47(9):801-804.
[9]梁辉清,关玉宝,刘海明,等.淋巴管肌瘤病的胸腹盆部影像学表现[J].临床放射学杂志,2011,30(9):1289-1292.
[10]陈孝柏,侯睿,张建梅,等.淋巴管肌瘤病的影像表现[J].中华放射学杂志,2011,45(9):841-845.
[11]JohnsonS R,Cordier JF,Lazor R,et al.European Respiratory Society guidelines for the diagnosis and management of lymphangioleiomyomatosis[J].European Respiratory Journal,2010,35:14-26.
[12]杨姗,张志勇,张兴伟,等.肺淋巴管肌瘤病的CT表现(附5例报告)[J].临床放射学杂志,2004,23(8):674-677.
[13]Tobino K,Hirai T,Johkoh T,et al.Differentiation between Birt-Hogg-Dubésyndrome and lymphangioleiomyomatosis:quantitative analysis of pulmonary cysts on computed tomography of the chest in 66 females[J].European Journal of Radiology,2012,81(6):1340-1346.
[14]周仁娣,夏进东,何国祥,等.肺淋巴管平滑肌瘤病的多层螺旋CT表现及病理基础[J].实用放射学杂志,2013,29(11):1873-1875.