Turkiye Klinikleri Archives of Lung

Two Cases with Anterior Mediastinal, Periaortic and Pleural Multicentric Idiopathic Fibrosis: Long-term Follow-up Results with Computed Tomography
Anterior Mediastinal, Periaortik ve Plevral Multisentrik İdiyopatik Fibrozis Tanılı İki Olgu: Bilgisayarlı Tomografi ile Uzun Süreli Takip Sonuçları
Seher SUSAMa, Kenan Can CEYLANb, Ceyda ANARc, Nur YÜCELd, Funda CANSUN YAKUTb
aDepartment of Radiology, University of Health Sciences Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, İzmir, TURKEY
bDepartment of Thoracic Surgery, University of Health Sciences Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, İzmir, TURKEY
cDepartment of Chest Diseases, University of Health Sciences Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, İzmir, TURKEY
dDepartment of Pathology, University of Health Sciences Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, İzmir, TURKEY
Turkiye Klinikleri Arch Lung. 2021;20(2):57-61
doi: 10.5336/archlung.2020-79644
Article Language: EN
Full Text
Intrathoracic fibrosis is a rare disease with a benign histopathology mimicking malignant mass lesions which can be seen in infiltrative or limited mass form and can be followed by computed tomography as a primary imaging modality. In the literature, there are cases of mediastinal or pleural fibrosis. However, in our 2 cases, pleural involvement, retrosternal mass, and posterior mediastinal mass surrounding the aorta are seen at the same time. In particular, both parasternal pleural thickening in the form of bat wings is noteworthy. We could not find a published case in which 3 separate components were involved at the same time, followed up for a long time such as 8 and 6 years. Multicentric intrathoracic fibrosis cases were investigated with pre-diagnoses of thymoma, lymphoma, asbestos, and mesothelioma, diagnosed by biopsy and followed up in our hospital for 6-8 years, are presented because they are rare and instructive.

Keywords: Fibrosis; pleura; mediastinum
İntratorasik fibrozis, malign kitle lezyonlarını taklit eden, infiltratif veya sınırlı kitle formunda görülebilen, benign histopatolojiye sahip, tanısında ve takibinde bilgisayarlı tomografinin primer görüntüleme yöntemi olduğu nadir bir hastalıktır. Literatürde, mediastinal ya da plevral fibrozis olgularına rastlanmaktadır. Ancak 2 olgumuzda da plevral tutulum, retrosternal kitle ve aortayı saran posterior mediastinal kitle aynı anda görülmektedir. Özellikle yarasa kanadı şeklinde her 2 parasternal plevral kalınlaşma dikkati çekmektedir. Literatürde 3 ayrı komponentin aynı anda tutulum gösterdiği, 8 ve 6 yıl gibi uzun süre takip edilen olguya rastlamadık. Timoma, lenfoma, asbest ve mezotelyoma ön tanıları ile araştırılan, biyopsi ile tanı alan, 6 ve 8 yıl boyunca hastanemizde takip edilen, multisentrik intratorasik fibrozis olguları, nadir ve öğretici olmaları nedeniyle sunulmuştur.

Anahtar Kelimeler: Fibrozis; plevra; mediastinum
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