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Diffuse Parenchymal Lung Disease: A Clinical Overview

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Transbronchial cryobiopsy in diffuse parenchymal lung disease
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Abstract

Diffuse parenchymal lung disease is a generic term including a variety of disorders characterized by accumulation/infiltration of extracellular substances, fluids, or cells in the structures of the secondary pulmonary lobule. Pathophysiology is different according to the large number of disorders grouped together. However five basic mechanisms may be considered: infections, malignancy, granulomatous inflammation, nongranulomatous inflammation/fibrosis, and finally alveolar stem cell exhaustion and bronchiolar proliferation/fibrosis. The clinical features may be helpful for diagnosis, but the imaging aspects are a keystone in the diagnostic workup. Invasive procedures are needed only in a minority although still significant number of cases.

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References

  1. Colby TV, Carrington CB. Interstitial lung disease. In: Thurlbeck WM, Churg AM, editors. Pathology of the lung. New York: Thieme; 1995. p. 589–737.

    Google Scholar 

  2. Nagaishi C. Functional anatomy and histology of the lung. Baltimore: University Park Press; 1972. p. 26–41.

    Google Scholar 

  3. Martignoni G, Pea M, Righellin D, et al. Molecular pathology of lymphangioleiomyomatosis and other perivascular epithelioid cell tumors. Arch Pathol Lab Med. 2010;134:33–40.

    PubMed  Google Scholar 

  4. Durham BH. Molecular characterization of the histiocytosis: neoplasia of dendritic and macrophages. Semin Cell Dev Biol. 2019;86:62–76.

    Article  CAS  Google Scholar 

  5. Milne P, Bigley V, Bacon CM, et al. Hematopoietic origin of Langerhans cell histiocytosis and Erdheim Chester disease in adults. Blood. 2017;130:167–75.

    Article  CAS  Google Scholar 

  6. Korsten P, Tampa B, Konig MF, Nikiphorou E. Sarcoidosis and autoimmune diseases: differences, similarities and overlaps. Curr Opin Pulm Med. 2018;24:504–12.

    Article  Google Scholar 

  7. Sood AK, Funkhouser W, Handly B, Weston B, Wu EY. Granulomatous-lymphocytic interstitial lung disease in 22q11.2 deletion syndrome: case report and literature review. Curr Allergy Asthma Rep. 2018;18:14.

    Article  Google Scholar 

  8. Atzeni F, Gerardi MC, Barillaro G, Masala IF, Benucci M, Sarzi-Puttini P. Interstitial lung disease in systemic autoimmune rheumatic diseases: a comprehensive review. Expert Rev Clin Immunol. 2018;14:69–82.

    Article  CAS  Google Scholar 

  9. Chilosi M, Caliò A, Rossi A, et al. Epithelial to mesenchymal transition-related proteins ZEB1, beta-catenin, and beta-tubulin III in idiopathic pulmonary fibrosis. Mod Pathol. 2017;30:26–36.

    Article  CAS  Google Scholar 

  10. Chilosi M, Carloni A, Rossi A, Poletti V. Premature lung aging and cellular senescence in the pathogenesis of idiopathic pulmonary fibrosis and COPD/emphysema. Transl Res. 2013;162:156–73.

    Article  CAS  Google Scholar 

  11. Kaur A, Mathai SK, Schwartz DA. Genetics in idiopathic pulmonary fibrosis. Pathogenesis, prognosis and treatment. Front Med. 2017;4:154.

    Article  Google Scholar 

  12. Hoffman TW, van Moorsel CHM, Borie R, Crestani B. Pulmonary phenotypes associated with genetic variation in telomere-related genes. Curr Opin Pulm Med. 2018;24:269–80.

    CAS  PubMed  Google Scholar 

  13. Allen RJ, Porte J, Braybrooke R, et al. Genetic variants associated with susceptibility to idiopathic pulmonary fibrosis in people of European ancestry: a genome-wide association study. Lancet Respir Med. 2017;5:869–80.

    Article  CAS  Google Scholar 

  14. Dal Piaz G. Computed tomography of diffuse lung diseases and solitary pulmonary nodules. In: Leslie KO, Wick MR, editors. Practical pulmonary pathology: a diagnostic approach. 3rd ed. Amsterdam: Elsevier; 2018. p. 35–98.

    Chapter  Google Scholar 

  15. Cagle PT, Kerr KM. Pulmonary pathology. Berlin: Springer; 2018.

    Book  Google Scholar 

  16. Costabel U, du Bois RM, Egan JJ, Herth F, Bolliger CT. Diffuse parenchymal lung disease. Basel: Karger; 2007.

    Book  Google Scholar 

  17. Hetzel J, Maldonado F, Ravaglia C, et al. Transbronchial cryobiopsies for the diagnosis of diffuse parenchymal lung diseases. Expert statement from the cryobiopsy working group on safety and utility and a call for standardization of the procedure. Respiration. 2018;95:188–200.

    Article  Google Scholar 

  18. Poletti V, Casoni GL, Gurioli C, Ryu JH, Tomassetti S. Lung cryobiopsies: a paradigm shift in diagnostic bronchoscopy? Respirology. 2014;19:645–54.

    Article  Google Scholar 

  19. Ravaglia C, Wells AU, Tomassetti S, Gurioli C, Gurioli C, Dubini A, Cavazza A, Colby TV, Piciucchi S, Puglisi S, Bosi M, Poletti V. Diagnostic yield and risk/benefit analysis of trans-bronchial lung cryobiopsy in diffuse parenchymal lung diseases: a large cohort of 699 patients. BMC Pulm Med. 2019;19(1):16.

    Google Scholar 

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Poletti, V. (2019). Diffuse Parenchymal Lung Disease: A Clinical Overview. In: Poletti, V. (eds) Transbronchial cryobiopsy in diffuse parenchymal lung disease. Springer, Cham. https://doi.org/10.1007/978-3-030-14891-1_1

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  • DOI: https://doi.org/10.1007/978-3-030-14891-1_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14890-4

  • Online ISBN: 978-3-030-14891-1

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