弥漫性肺脑膜皮样瘤病：病例报告

IF 0.8 Q4 RESPIRATORY SYSTEM

Respiratory Medicine Case Reports Pub Date : 2024-01-01 DOI:10.1016/j.rmcr.2024.102105

Su Ji Oh , Jun Hyeok Lim , Lucia Kim , Young Sam Kim

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引用次数: 0

摘要

一名 57 岁的女性因胸部不适和用力呼吸困难就诊，但无其他呼吸道症状或恶性肿瘤病史。胸部 CT 显示双肺有多灶性中心叶状结节和磨玻璃不透明。患者接受了胸腔镜楔形切除术，组织学检查证实其为间质性脑膜样结节，与弥漫性脑膜瘤病一致。患者无并发症出院，3个月后的CT随访显示病情无进展，6个月的门诊观察期间病情保持稳定。弥漫性肺脑膜上皮瘤病极为罕见，但这可能是双侧肺弥漫性结节患者的致病病因之一。

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Diffuse pulmonary meningotheliomatosis: A case report

A 57-year-old female presented with chest discomfort and exertional dyspnea but no other respiratory symptoms or history of malignancy. Chest CT revealed multifocal centrilobular nodules with ground-glass opacity in both lungs. Thoracoscopic wedge resection was done, and histological examination confirmed interstitial meningothelial-like nodules, consistent with diffuse meningotheliomatosis. The patient was discharged without complications and showed no disease progression on follow-up CT at 3 months, maintaining stability during 6 months of outpatient observation. Diffuse pulmonary meningotheliomatosis is an exceedingly rare condition, but this may be one of the causative etiologies in patients with diffuse bilateral pulmonary nodules.

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