Pulmonary melanoma and “crazy paving” patterns in chest images: a case report and literature review
Identifieur interne : 008653 ( Ncbi/Curation ); précédent : 008652; suivant : 008654Pulmonary melanoma and “crazy paving” patterns in chest images: a case report and literature review
Auteurs : Yikuan Feng [République populaire de Chine] ; Jianping Zhao [République populaire de Chine] ; Qun Yang [République populaire de Chine] ; Weining Xiong [République populaire de Chine] ; Guohua Zhen [République populaire de Chine] ; Yongjian Xu [République populaire de Chine] ; Zhenxiang Zhang [République populaire de Chine] ; Huilan Zhang [République populaire de Chine]Source :
- BMC Cancer [ 1471-2407 ] ; 2016.
Abstract
In the lung, melanoma is mostly arranged as patterns of multiple nodules, solitary nodules, or miliary invasions. Very rarely, it also displays a “crazy paving” pattern (also described as a “paving stone,” “flagstone,” or “slabstone” pattern), which is rarer still in discrete bilateral nodules. This pattern is considered to be caused by pulmonary alveolar proteinosis, but its association with various diseases is unclear.
A 60-year-old man was diagnosed with pulmonary melanoma. Computed tomography revealed discrete bilateral nodules surrounded by a “paving” pattern. A literature review found more than 40 types of diseases that have presented with “paving” patterns in the lung—predominantly pulmonary alveolar proteinosis, viral pneumonia, exogenous lipoid pneumonia, bacterial pneumonia, pulmonary alveolar microlithiasis, interstitial pneumonia, ARDS, squalene aspiration pneumonia, radiation pneumonitis, drug-induced pneumonitis, pulmonary leptospirosis, pulmonary hemorrhage, and pulmonary nocardiosis.
We describe the first case of pulmonary melanoma in the form of discrete bilateral nodules accompanied with a computed tomography paving pattern. Although pulmonary paving patterns are rare, more than 40 diseases reportedly display them; clinicians should consider melanoma of the lung in differential diagnoses for patients who show such a pattern.
Url:
DOI: 10.1186/s12885-016-2630-5
PubMed: 27488496
PubMed Central: 4973081
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Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><wicri:noRegion>Wuhan</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27488496</idno><idno type="pmc">4973081</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973081</idno><idno type="RBID">PMC:4973081</idno><idno type="doi">10.1186/s12885-016-2630-5</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000A29</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000A29</idno><idno type="wicri:Area/Pmc/Curation">000A28</idno><idno type="wicri:explorRef" wicri:stream="Pmc" 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University of Science and Technology, Wuhan</wicri:regionArea><wicri:noRegion>Wuhan</wicri:noRegion></affiliation></author><author><name sortKey="Zhao, Jianping" sort="Zhao, Jianping" uniqKey="Zhao J" first="Jianping" last="Zhao">Jianping Zhao</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><wicri:noRegion>Wuhan</wicri:noRegion></affiliation></author><author><name sortKey="Yang, Qun" sort="Yang, Qun" uniqKey="Yang Q" first="Qun" last="Yang">Qun Yang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><wicri:noRegion>Wuhan</wicri:noRegion></affiliation></author><author><name sortKey="Xiong, Weining" sort="Xiong, Weining" uniqKey="Xiong W" first="Weining" last="Xiong">Weining Xiong</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><wicri:noRegion>Wuhan</wicri:noRegion></affiliation></author><author><name sortKey="Zhen, Guohua" sort="Zhen, Guohua" uniqKey="Zhen G" first="Guohua" last="Zhen">Guohua Zhen</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><wicri:noRegion>Wuhan</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Yongjian" sort="Xu, Yongjian" uniqKey="Xu Y" first="Yongjian" last="Xu">Yongjian Xu</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><wicri:noRegion>Wuhan</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Zhenxiang" sort="Zhang, Zhenxiang" uniqKey="Zhang Z" first="Zhenxiang" last="Zhang">Zhenxiang Zhang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><wicri:noRegion>Wuhan</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Huilan" sort="Zhang, Huilan" uniqKey="Zhang H" first="Huilan" last="Zhang">Huilan Zhang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><wicri:noRegion>Wuhan</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>In the lung, melanoma is mostly arranged as patterns of multiple nodules, solitary nodules, or miliary invasions. Very rarely, it also displays a “crazy paving” pattern (also described as a “paving stone,” “flagstone,” or “slabstone” pattern), which is rarer still in discrete bilateral nodules. This pattern is considered to be caused by pulmonary alveolar proteinosis, but its association with various diseases is unclear.</p></sec><sec><title>Case presentation</title><p>A 60-year-old man was diagnosed with pulmonary melanoma. Computed tomography revealed discrete bilateral nodules surrounded by a “paving” pattern. A literature review found more than 40 types of diseases that have presented with “paving” patterns in the lung—predominantly pulmonary alveolar proteinosis, viral pneumonia, exogenous lipoid pneumonia, bacterial pneumonia, pulmonary alveolar microlithiasis, interstitial pneumonia, ARDS, squalene aspiration pneumonia, radiation pneumonitis, drug-induced pneumonitis, pulmonary leptospirosis, pulmonary hemorrhage, and pulmonary nocardiosis.</p></sec><sec><title>Conclusions</title><p>We describe the first case of pulmonary melanoma in the form of discrete bilateral nodules accompanied with a computed tomography paving pattern. Although pulmonary paving patterns are rare, more than 40 diseases reportedly display them; clinicians should consider melanoma of the lung in differential diagnoses for patients who show such a pattern.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Siegel, R" uniqKey="Siegel R">R Siegel</name></author><author><name sortKey="Ma, J" uniqKey="Ma J">J Ma</name></author><author><name sortKey="Zou, Z" uniqKey="Zou Z">Z Zou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kyrgidis, A" uniqKey="Kyrgidis A">A Kyrgidis</name></author><author><name sortKey="Tzellos, Tg" uniqKey="Tzellos T">TG Tzellos</name></author><author><name sortKey="Triaridis, S" uniqKey="Triaridis S">S Triaridis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Yt" uniqKey="Lee Y">YT Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, Jt" 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Kim</name></author><author><name sortKey="Lee, Kn" uniqKey="Lee K">KN Lee</name></author><author><name sortKey="Tomiyama, N" uniqKey="Tomiyama N">N Tomiyama</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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