Document Detail


AIDS-related Kaposi sarcoma of the lung presenting with a "crazy-paving" pattern on high-resolution CT: imaging and pathologic findings.
MedLine Citation:
PMID:  18520573     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Fernando Palma da Silva Filho; Edson Marchiori; Paulo Marcos Valiante; Dante L Escuissato; Taisa Davaus Gasparetto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of thoracic imaging     Volume:  23     ISSN:  0883-5993     ISO Abbreviation:  J Thorac Imaging     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-10-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606160     Medline TA:  J Thorac Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  135-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / complications*
Adult
Biopsy
Diagnosis, Differential
Dyspnea / etiology
Female
Hemorrhage / etiology
Humans
Lung / pathology,  radiography*,  surgery
Lung Neoplasms / diagnosis*,  surgery
Pulmonary Edema / etiology
Sarcoma, Kaposi / diagnosis*,  surgery
Tomography, X-Ray Computed / methods*

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