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A Rare Case of Diffuse Pulmonary Lymphangiomatosis in a Middle-Aged Woman

  • Lim, Hyun-Ju (Department of Radiology and Center for Imaging, Samsung Medical Center, Sungkyunkwan University Schoolof Medicine) ;
  • Han, Joungho (Department of Pathology, Samsung Medical Center, Sungkyunkwan University Schoolof Medicine) ;
  • Kim, Hong Kwan (Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University Schoolof Medicine) ;
  • Kim, Tae Sung (Department of Radiology and Center for Imaging, Samsung Medical Center, Sungkyunkwan University Schoolof Medicine)
  • 투고 : 2013.01.03
  • 심사 : 2013.12.13
  • 발행 : 2014.04.01

초록

Diffuse pulmonary lymphangiomatosis (DPL) is a rare lymphatic disorder characterized by lymphatic channel proliferation. It is mostly reported in children and young adults. Here, we report a case involving a 52-year-old asymptomatic woman who presented with increased interstitial markings, as seen on a chest radiograph. Diffuse interstitial septal thickening was found on a serial follow-up chest computed tomography scan, and lymphangitic metastasis was the primary radiologic differential diagnosis. However, histologic sections of wedge resected lung revealed diffuse pleural and interlobular septal lymphatic proliferation characteristic of DPL.

키워드

참고문헌

  1. Swensen SJ, Hartman TE, Mayo JR, Colby TV, Tazelaar HD, Muller NL. Diffuse pulmonary lymphangiomatosis: CT findings. J Comput Assist Tomogr 1995;19:348-352 https://doi.org/10.1097/00004728-199505000-00002
  2. Yoo SH, Song JS, Lee JJ, Lee M, Hwang HS, Jang SJ. Diffuse pulmonary lymphangiomatosis: Pulmonary lymphatic disorder in an adult. Basic and Applied Pathology 2012;5:63-66 https://doi.org/10.1111/j.1755-9294.2012.01130.x
  3. El Hajj L, Mazieres J, Rouquette I, Mittaine M, Bolduc JP, Didier A, et al. Diagnostic value of bronchoscopy, CT and transbronchial biopsies in diffuse pulmonary lymphangiomatosis: case report and review of the literature. Clin Radiol 2005;60:921-925 https://doi.org/10.1016/j.crad.2005.03.006
  4. Boland JM, Tazelaar HD, Colby TV, Leslie KO, Hartman TE, Yi ES. Diffuse pulmonary lymphatic disease presenting as interstitial lung disease in adulthood: report of 3 cases. Am J Surg Pathol 2012;36:1548-1554 https://doi.org/10.1097/PAS.0b013e31825eae67
  5. Du MH, Ye RJ, Sun KK, Li JF, Shen DH, Wang J, et al. Diffuse pulmonary lymphangiomatosis: a case report with literature review. Chin Med J (Engl) 2011;124:797-800
  6. Resten A, Maitre S, Humbert M, Rabiller A, Sitbon O, Capron F, et al. Pulmonary hypertension: CT of the chest in pulmonary venoocclusive disease. AJR Am J Roentgenol 2004;183:65-70 https://doi.org/10.2214/ajr.183.1.1830065
  7. Wittenberg KH, Swensen SJ, Myers JL. Pulmonary involvement with Erdheim-Chester disease: radiographic and CT findings. AJR Am J Roentgenol 2000;174:1327-1331 https://doi.org/10.2214/ajr.174.5.1741327
  8. Copley SJ, Coren M, Nicholson AG, Rubens MB, Bush A, Hansell DM. Diagnostic accuracy of thin-section CT and chest radiography of pediatric interstitial lung disease. AJR Am J Roentgenol 2000;174:549-554 https://doi.org/10.2214/ajr.174.2.1740549
  9. Nobre LF, Muller NL, de Souza Júnior AS, Marchiori E, Souza IV. Congenital pulmonary lymphangiectasia: CT and pathologic findings. J Thorac Imaging 2004;19:56-59 https://doi.org/10.1097/00005382-200401000-00012
  10. Tazelaar HD, Kerr D, Yousem SA, Saldana MJ, Langston C, Colby TV. Diffuse pulmonary lymphangiomatosis. Hum Pathol 1993;24:1313-1322 https://doi.org/10.1016/0046-8177(93)90265-I

피인용 문헌

  1. Update June 2014 vol.12, pp.2, 2014, https://doi.org/10.1089/lrb.2014.1222
  2. A case of diffuse pulmonary lymphangiomatosis with unilateral lung invasion vol.2015, pp.10, 2015, https://doi.org/10.1093/omcr/omv059
  3. Thoracic involvement in generalised lymphatic anomaly (or lymphangiomatosis) vol.25, pp.140, 2014, https://doi.org/10.1183/16000617.0018-2016
  4. Lymphangiomatosis involving the pulmonary and extrapulmonary lymph nodes and surrounding soft tissue : A rare case report vol.96, pp.49, 2014, https://doi.org/10.1097/md.0000000000009032
  5. Diffuse Pulmonary Lymphangiomatosis: MDCT Findings After Direct Lymphangiography vol.208, pp.2, 2014, https://doi.org/10.2214/ajr.16.16589
  6. Diffuse pulmonary lymphangiomatosis vol.45, pp.5, 2014, https://doi.org/10.1590/1806-3713/e20180412
  7. Diffuse Pulmonary Lymphangiomatosis: Report of Two Cases vol.10, pp.7, 2020, https://doi.org/10.12677/acm.2020.107210
  8. Successful treatment of diffuse pulmonary lymphangiomatosis with sirolimus vol.29, pp.None, 2014, https://doi.org/10.1016/j.rmcr.2020.101014
  9. Late diagnosis of generalized lymphangiomatosis in a woman presenting with respiratory distress vol.15, pp.8, 2014, https://doi.org/10.1016/j.radcr.2020.05.021