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Histopathologic findings of transbronchial biopsy in usual interstitial pneumonia

Authors
 Hyo Sup Shim  ;  Moo Suk Park  ;  In Kyu Park 
Citation
 PATHOLOGY INTERNATIONAL, Vol.60(5) : 373-377, 2010 
Journal Title
 PATHOLOGY INTERNATIONAL 
ISSN
 1320-5463 
Issue Date
2010
MeSH
Adult ; Aged ; Biopsy ; Bronchoscopy* ; Female ; Fibrosis/complications ; Fibrosis/pathology ; Humans ; Idiopathic Pulmonary Fibrosis/complications ; Idiopathic Pulmonary Fibrosis/pathology* ; Idiopathic Pulmonary Fibrosis/surgery ; Male ; Middle Aged ; Reproducibility of Results ; Retrospective Studies
Keywords
histopathology ; transbronchial biopsy ; usual interstitial pneumonia
Abstract
The role of transbronchial biopsy in diagnosis of usual interstitial pneumonia (UIP) is controversial. In this study, we retrospectively reviewed transbronchial biopsy specimens according to the similar criteria of previous studies, and evaluated whether diagnostic findings of UIP could be found in transbronchial biopsies. Thirty two patients with usual interstitial pneumonia, confirmed by surgical lung biopsy, were identified. In three cases (9.4%), there were combinations of interstitial fibrosis and fibroblast foci, and these findings were considered consistent with usual interstitial pneumonia. No patchwork fibrosis or honeycomb change was found. Diagnostic findings of usual interstitial pneumonia were not frequently manifested in transbronchial biopsy specimens in our study (3 out of 32 cases, 9.4%), compared with a previous report (9 out of 22 cases, 41%). In conclusion, it cannot be claimed that transbronchial biopsy is more useful in confirming usual interstitial pneumonia than previously recognized. The primary and main role of transbronchial biopsy in diagnosis of usual interstitial pneumonia is thought not to confirm a diagnosis, but to exclude other infiltrative diseases, such as malignancy, sarcoidosis or infections.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1827.2010.02528.x/abstract
DOI
10.1111/j.1440-1827.2010.02528.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Park, Moo Suk(박무석) ORCID logo https://orcid.org/0000-0003-0820-7615
Park, In Kyu(박인규)
Shim, Hyo Sup(심효섭) ORCID logo https://orcid.org/0000-0002-5718-3624
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101017
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