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Pleuraherd auf Wanderschaft

Moving pleural mass

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Zusammenfassung

Ein 74-jähriger Patient mit nichtkleinzelligem Bronchialkarzinom wurde aufgrund funktioneller Inoperabilität mittels Radiofrequenzablation behandelt. Die native Thorax-CT zeigte neben dem Tumor eine Verkalkung im Pleuraspalt in wechselnder Lokalisation an zwei aufeinander folgenden Tagen. Dieser extrem seltene Befund einer Thorakolithiasis stellt in der Regel einen Zufallsbefund dar. Die pleuralen Verkalkungen sind normalerweise asymptomatisch und erfordern keine Therapie. Thorakolithiasis ist eine Differenzialdiagnose des peripheren Lungenrundherdes.

Abstract

A 74-year-old man with bronchial carcinoma underwent radiofrequency ablation (RFA) due to poor pulmonary function. Therefore non-enhanced computed tomography (CT) of the chest was performed on two subsequent days. Besides the tumor, the CT scans showed a moving calcification in the pleural cavity. This extremely rare condition called thoracolithiasis is usually an incidental finding. Mostly it is asymptomatic and does not require any treatment. It should be considered as a differential diagnosis of a peripheral pulmonary nodule.

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Literatur

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Correspondence to M. Dadrich.

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Dadrich, M., Schneider, T., Puderbach, M. et al. Pleuraherd auf Wanderschaft. Med Klin Intensivmed Notfmed 107, 213–216 (2012). https://doi.org/10.1007/s00063-012-0076-3

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  • DOI: https://doi.org/10.1007/s00063-012-0076-3

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