AIDS-related Kaposi sarcoma of the lung presenting with a "Crazy-paving" pattern on high-resolution CT - Imaging and pathologic findings

被引：13

作者：

da Silva Filho, Fernando Palma ^{[1
]}

Marchiori, Edson ^{[1
,2
]}

Valiante, Paulo Marcos ^{[3
]}

Escuissato, Dante L. ^{[4
]}

Gasparetto, Taisa Davaus ^{[1
,2
]}

机构：

[1] Univ Fed Rio de Janeiro, Dept Radiol, Rio De Janeiro, Brazil

[2] Univ Fed Fluminense, Dept Radiol, Niteroi, RJ, Brazil

[3] Univ Fed Rio de Janeiro, Dept Pathol, Rio De Janeiro, Brazil

[4] Univ Fed Parana, Dept Radiol, BR-80060000 Curitiba, Parana, Brazil

来源：

JOURNAL OF THORACIC IMAGING | 2008年 / 23卷 / 02期

关键词：

Kaposi sarcoma; high-resolution CT; AIDS; lung diseases;

D O I：

10.1097/RTI.0b013e31815a662d

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Kaposi sarcoma (KS) is a fulminate and disseminated form of acquired immunodeficiency syndrome (AIDS)-defining neoplasm, usually presenting pulmonary involvement. We report a 40-year-old woman with AIDS and biopsy-proven KS showing unusual high-resolution computed tomography (HRCT) findings. HRCT showed areas of ground-glass attenuation with superimposed septal thickening ("crazy-paving" pattern). CT-pathologic correlation revealed that crazy-paving pattern in this case was due to accompanying pulmonary edema and hemorrhage in addition to tumor cell infiltration into the peribronchovascular interstitium, interlobular and alveolar septa. The authors suggest the inclusion of KS in the differential diagnosis of lung diseases in patients with AIDS presenting with crazy-paving pattern on the HRCT.

引用

页码：135 / 137

页数：3