Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

辺縁明瞭な多発性小結節影と両側肺門リンパ節腫張を呈した肺サルコイドーシスの1例

Satoh, Katashi
Yoden, Midori
Tsuuchi, Yasuhiko
Sakamoto, Kazuhiro
Gouda, Fuminori
Kawase, Yoshiro
Kawasaki, Yukiko
Mizukawa, Kiichiro
Takashima, Hitoshi
Ohkawa, Motoomi
Tanabe, Masatada
100_1003.pdf 3.42 MB
Abstract
In a recent study, radiologic and pathologic examination of inflated and fixed lung specimens proved useful in the diagnosis of diffuse pulmonary diseases. In general, the margin of the nodular shadow is believed to be ill-defined in cases of sarcoidosis. Our patient was 47-year-old man, who has worked as a stone miner for 16 years. Chest radiography and CT revealed BHL and multiple nodular shadows with well-defined margins throughout the lung field. Those shadows were less than 1cm in diameter. TBLB showed epithelioid granulomas around the double refractile crystals. The finding suggests that the formation of epithelioid cell granuloma is related to silicate particles.
Keywords
sarcoidosis
high resolution CT
multiple nodular shadow
BHL
ISSN
0030-1558
NCID
AN00032489