[Pleural Metastasis of Lung Cancer Combined with Pleuroparenchymal Fibroelastosis: A Case Report].

Journal of the Korean Society of Radiology Pub Date : 2024-05-01 Epub Date: 2024-03-08 DOI:10.3348/jksr.2023.0024
Sung Cheol Hong, Lucia Kim, Min Kyung Lee, Hong Lyeol Lee, Kyung Hee Lee
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Abstract

Pleural metastasis is the most common cause of malignant diseases involving the pleura, and characterized by pleural effusion, nodules, and thickening. Pleuroparenchymal fibroelastosis (PPFE) is a disease characterized by apical pleural thickening and subjacent parenchymal fibrosis. We report a case of a 60-year-old male with lung cancer in the left lower lobe and underlying PPFE combined with left apical pleural metastasis. Initially, asymmetric left apical pleural thickening due to pleural metastasis was mistaken for PPFE. Additionally, we describe the imaging and histopathological findings of PPFE, including MRI findings.

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[肺癌胸膜转移合并胸膜下纤维细胞增生症:病例报告]。
胸膜转移是涉及胸膜的恶性疾病中最常见的原因,以胸腔积液、结节和增厚为特征。胸膜下纤维细胞增生症(PPFE)是一种以胸膜顶端增厚和邻近实质纤维化为特征的疾病。我们报告了一例 60 岁男性患者的病例,他患有左下叶肺癌,潜在的 PPFE 合并左侧心尖胸膜转移。起初,胸膜转移导致的不对称左心尖胸膜增厚被误认为是 PPFE。此外,我们还描述了 PPFE 的影像学和组织病理学结果,包括核磁共振成像结果。
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