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Der Radiologe

, Volume 44, Issue 5, pp 465–471 | Cite as

Bildgebende Diagnostik der pulmonalen Lymphangiosis carcinomatosa

  • B. RehbockEmail author
  • H.-G. Hieckel
Maligne Thoraxtumoren: CT und MRT

Zusammenfassung

Die Diagnose der pulmonalen Lymphangiosis carcinomatosa (PLC) ist für die prognoseorientierte Therapiestratifikation von Tumorpatienten von hoher Bedeutung. Bildgebend ist die High-resolution-Computertomographie (HRCT) state of the art. Durch Detailauflösung der Parenchymstrukturen ist eine Charakterisierung interstitieller Verschattungsmuster mit HRCT möglich, während die vorgeschaltete Röntgenthoraxübersicht sie detektiert und andere Erkrankungen ausschließt. Es werden die typischen Zeichen der PLC unter besonderer Berücksichtigung der HR-Phänomenologie erläutert und unter Abgleichung mit Literaturangaben in Bezug auf Anatomie und Pathogenese differenzialdiagnostisch diskutiert und mit Befundbeispielen unterlegt.

Schlüsselwörter

Pulmonale Lymphangiosis carcinomatosa Diagnose Röntgen-Thorax High-resolution-CT 

Diagnostic imaging of pulmonary lymphangiosis carcinomatosa

Abstract

The diagnosis of pulmonary lymphangiosis carcinomatosa (PLC) is of great importance for the prognostically-oriented therapy stratification of tumor patients. In this field, high-resolution computed tomography (HRCT) is the state of the art in imaging. Using HRCT, it is possible to identify pulmonary parenchymal structures in a detailed fashion to evaluate interstitial patterns. This step is preceded by an x-ray of the thorax that detects pathological findings and rules out other diseases. The typical characteristics of PLC are described with particular attention to HR-phenomenology, and discussed in comparison with the literature regarding anatomy and pathogenesis. Finally, conclusions are drawn for differential diagnosis and supported by characteristic cases.

Keywords

Pulmonary lymphangiosis carcinomatosa Diagnosis Chest radiography High-resolution CT 

Notes

Danksagung

Für die internistisch-pulmologische Beratung zu den klinischen Ausführungen danke ich Herrn Dr. Andreas Franke (Pneumologische Klinik des FLT).

Interessenkonflikt:

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.Radiologisch-Diagnostisches InstitutFachkrankenhaus für Lungenheilkunde und ThoraxchirurgieBerlin
  2. 2.Radiologisch-Diagnostisches InstitutFachkrankenhaus für Lungenheilkunde und ThoraxchirurgieBerlin

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