Computed tomography lymphangiography findings in 27 cases of lymphangioleiomyomatosis.
Identifieur interne : 000413 ( PubMed/Checkpoint ); précédent : 000412; suivant : 000414Computed tomography lymphangiography findings in 27 cases of lymphangioleiomyomatosis.
Auteurs : Chunyan Zhang [République populaire de Chine] ; Xiaobai Chen [République populaire de Chine] ; Tingguo Wen [République populaire de Chine] ; Qijin Zhang [République populaire de Chine] ; Meng Huo [République populaire de Chine] ; Jian Dong [République populaire de Chine] ; Wen-Bin Shen [République populaire de Chine] ; Rengui Wang [République populaire de Chine]Source :
- Acta radiologica (Stockholm, Sweden : 1987) [ 1600-0455 ] ; 2017.
Abstract
Background Lymphangioleiomyomatosis (LAM) is a rare disease involving the bronchi, lymphatic vessels, and veins. However, there are few reports about lymphatic vessel abnormalities associated with LAM. Purpose To evaluate computed tomography (CT) lymphangiography findings in cases of LAM, especially lymphatic vessel abnormalities. Material and Methods Twenty-seven patients with LAM underwent direct lymphangiography (DLG), followed by a post-procedural thoracoabdominal CT examination. Results All 27 patients were diagnosed with LAM, including 25 (93%) with chylothorax, eight (30%) with chyloperitoneum, seven (26%) with chylous fluid in the chest and abdomen, and one (4%) with lower-limb lymphedema. The CT lymphangiography showed that 27/27 (100%) patients presented iliac or retroperitoneal lymphatic vessel dilation; 20/27 (74%) presented thoracic duct outlet obstruction; 9/27 (33%) presented pleural lymph leakage; and 13/27 (48%) presented an abnormal distribution of contrast agent in the contralateral lumbar trunk, 3/27 (11%) in the pulmonary field, 1/27 (4%) in the abdominal cavity, and 4/27 (15%) in the pelvic cavity. Five of the 27 patients (19%) had retroperitoneal lymphangioleiomyomas, with contrast agent accumulation in three cases during CT lymphangiography. Two of the 27 (7%) patients had enlarged lymph nodes in the retroperitoneum. All 27 patients (100%) diagnosed with LAM displayed various lung cysts on thoracic high-resolution CT scans. Conclusion CT lymphangiography findings can be used to diagnose most LAM cases accurately. Moreover, these findings also display the various lymphatic vessel abnormalities associated with LAM.
DOI: 10.1177/0284185116688381
PubMed: 28132530
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sortKey="Dong, Jian" sort="Dong, Jian" uniqKey="Dong J" first="Jian" last="Dong">Jian Dong</name><affiliation wicri:level="3"><nlm:affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Shen, Wen Bin" sort="Shen, Wen Bin" uniqKey="Shen W" first="Wen-Bin" last="Shen">Wen-Bin Shen</name><affiliation wicri:level="3"><nlm:affiliation>2 Department of Lymph Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>2 Department of Lymph Surgery, Beijing Shijitan Hospital, Capital Medical University, 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Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Chen, Xiaobai" sort="Chen, Xiaobai" uniqKey="Chen X" first="Xiaobai" last="Chen">Xiaobai Chen</name><affiliation wicri:level="3"><nlm:affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Wen, Tingguo" sort="Wen, Tingguo" uniqKey="Wen T" first="Tingguo" last="Wen">Tingguo Wen</name><affiliation wicri:level="3"><nlm:affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Zhang, Qijin" sort="Zhang, Qijin" uniqKey="Zhang Q" first="Qijin" last="Zhang">Qijin Zhang</name><affiliation wicri:level="3"><nlm:affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Huo, Meng" sort="Huo, Meng" uniqKey="Huo M" first="Meng" last="Huo">Meng Huo</name><affiliation wicri:level="3"><nlm:affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Dong, Jian" sort="Dong, Jian" uniqKey="Dong J" first="Jian" last="Dong">Jian Dong</name><affiliation wicri:level="3"><nlm:affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Shen, Wen Bin" sort="Shen, Wen Bin" uniqKey="Shen W" first="Wen-Bin" last="Shen">Wen-Bin Shen</name><affiliation wicri:level="3"><nlm:affiliation>2 Department of Lymph Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>2 Department of Lymph Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Wang, Rengui" sort="Wang, Rengui" uniqKey="Wang R" first="Rengui" last="Wang">Rengui Wang</name><affiliation wicri:level="3"><nlm:affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author></analytic><series><title level="j">Acta radiologica (Stockholm, Sweden : 1987)</title><idno type="eISSN">1600-0455</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background Lymphangioleiomyomatosis (LAM) is a rare disease involving the bronchi, lymphatic vessels, and veins. However, there are few reports about lymphatic vessel abnormalities associated with LAM. Purpose To evaluate computed tomography (CT) lymphangiography findings in cases of LAM, especially lymphatic vessel abnormalities. Material and Methods Twenty-seven patients with LAM underwent direct lymphangiography (DLG), followed by a post-procedural thoracoabdominal CT examination. Results All 27 patients were diagnosed with LAM, including 25 (93%) with chylothorax, eight (30%) with chyloperitoneum, seven (26%) with chylous fluid in the chest and abdomen, and one (4%) with lower-limb lymphedema. The CT lymphangiography showed that 27/27 (100%) patients presented iliac or retroperitoneal lymphatic vessel dilation; 20/27 (74%) presented thoracic duct outlet obstruction; 9/27 (33%) presented pleural lymph leakage; and 13/27 (48%) presented an abnormal distribution of contrast agent in the contralateral lumbar trunk, 3/27 (11%) in the pulmonary field, 1/27 (4%) in the abdominal cavity, and 4/27 (15%) in the pelvic cavity. Five of the 27 patients (19%) had retroperitoneal lymphangioleiomyomas, with contrast agent accumulation in three cases during CT lymphangiography. Two of the 27 (7%) patients had enlarged lymph nodes in the retroperitoneum. All 27 patients (100%) diagnosed with LAM displayed various lung cysts on thoracic high-resolution CT scans. Conclusion CT lymphangiography findings can be used to diagnose most LAM cases accurately. Moreover, these findings also display the various lymphatic vessel abnormalities associated with LAM.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28132530</PMID><DateCreated><Year>2017</Year><Month>01</Month><Day>30</Day></DateCreated><DateRevised><Year>2017</Year><Month>03</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1600-0455</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jan</Month><Day>01</Day></PubDate></JournalIssue><Title>Acta radiologica (Stockholm, Sweden : 1987)</Title><ISOAbbreviation>Acta Radiol</ISOAbbreviation></Journal><ArticleTitle>Computed tomography lymphangiography findings in 27 cases of lymphangioleiomyomatosis.</ArticleTitle><Pagination><MedlinePgn>284185116688381</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0284185116688381</ELocationID><Abstract><AbstractText>Background Lymphangioleiomyomatosis (LAM) is a rare disease involving the bronchi, lymphatic vessels, and veins. However, there are few reports about lymphatic vessel abnormalities associated with LAM. Purpose To evaluate computed tomography (CT) lymphangiography findings in cases of LAM, especially lymphatic vessel abnormalities. Material and Methods Twenty-seven patients with LAM underwent direct lymphangiography (DLG), followed by a post-procedural thoracoabdominal CT examination. Results All 27 patients were diagnosed with LAM, including 25 (93%) with chylothorax, eight (30%) with chyloperitoneum, seven (26%) with chylous fluid in the chest and abdomen, and one (4%) with lower-limb lymphedema. The CT lymphangiography showed that 27/27 (100%) patients presented iliac or retroperitoneal lymphatic vessel dilation; 20/27 (74%) presented thoracic duct outlet obstruction; 9/27 (33%) presented pleural lymph leakage; and 13/27 (48%) presented an abnormal distribution of contrast agent in the contralateral lumbar trunk, 3/27 (11%) in the pulmonary field, 1/27 (4%) in the abdominal cavity, and 4/27 (15%) in the pelvic cavity. Five of the 27 patients (19%) had retroperitoneal lymphangioleiomyomas, with contrast agent accumulation in three cases during CT lymphangiography. Two of the 27 (7%) patients had enlarged lymph nodes in the retroperitoneum. All 27 patients (100%) diagnosed with LAM displayed various lung cysts on thoracic high-resolution CT scans. Conclusion CT lymphangiography findings can be used to diagnose most LAM cases accurately. Moreover, these findings also display the various lymphatic vessel abnormalities associated with LAM.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Chunyan</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Xiaobai</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wen</LastName><ForeName>Tingguo</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Qijin</ForeName><Initials>Q</Initials><AffiliationInfo><Affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huo</LastName><ForeName>Meng</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dong</LastName><ForeName>Jian</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shen</LastName><ForeName>Wen-Bin</ForeName><Initials>WB</Initials><AffiliationInfo><Affiliation>2 Department of Lymph Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Rengui</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>1 Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, PR China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>01</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Acta Radiol</MedlineTA><NlmUniqueID>8706123</NlmUniqueID><ISSNLinking>0284-1851</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Computed tomography (CT)</Keyword><Keyword MajorTopicYN="N">X-ray</Keyword><Keyword MajorTopicYN="N">chylothorax</Keyword><Keyword MajorTopicYN="N">lymphangiography</Keyword><Keyword MajorTopicYN="N">lymphangioleiomyomatosis (LAM)</Keyword><Keyword MajorTopicYN="N">thoracic duct</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>1</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28132530</ArticleId><ArticleId IdType="doi">10.1177/0284185116688381</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>République populaire de Chine</li></country><settlement><li>Pékin</li></settlement></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Zhang, Chunyan" sort="Zhang, Chunyan" uniqKey="Zhang C" first="Chunyan" last="Zhang">Chunyan Zhang</name></noRegion><name sortKey="Chen, Xiaobai" sort="Chen, Xiaobai" uniqKey="Chen X" first="Xiaobai" last="Chen">Xiaobai Chen</name><name sortKey="Dong, Jian" sort="Dong, Jian" uniqKey="Dong J" first="Jian" last="Dong">Jian Dong</name><name sortKey="Huo, Meng" sort="Huo, Meng" uniqKey="Huo M" first="Meng" last="Huo">Meng Huo</name><name sortKey="Shen, Wen Bin" sort="Shen, Wen Bin" uniqKey="Shen W" first="Wen-Bin" last="Shen">Wen-Bin Shen</name><name sortKey="Wang, Rengui" sort="Wang, Rengui" uniqKey="Wang R" first="Rengui" last="Wang">Rengui Wang</name><name sortKey="Wen, Tingguo" sort="Wen, Tingguo" uniqKey="Wen T" first="Tingguo" last="Wen">Tingguo Wen</name><name sortKey="Zhang, Qijin" sort="Zhang, Qijin" uniqKey="Zhang Q" first="Qijin" last="Zhang">Qijin Zhang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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