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Birt-Hogg-Dubé Syndrome

Birt-Hogg-Dubé Syndrome▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Chest CT in a patient with a history of renal cell carcinoma and ovarian cancer demonstrates multiple thin-walled, oblong, and subpleural lung cysts, several of which are located in the lower lobes and along the fissures and bronchovascular bundles.

Key takeaways

Birt-Hogg-Dubé (BHD) syndrome is an autosomal dominant genetic disorder caused by mutations in the FLCN gene, characterized by benign skin tumors (fibrofolliculomas), renal tumors (most commonly chromophobe renal cell carcinoma or oncocytoma), and pulmonary cysts. The lung cysts are classically subpleural, basal-predominant, lenticular or multi-septated, and carry a high risk of spontaneous pneumothorax.

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