病理診断アトラス(4) : 呼吸器系2:非腫瘍性病変

概要

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Numerous non-tumorous respiratory diseases cannot be diagnosed. Definite pathological diagnosis can be made when lesions on chest X-rays show diffuse infiltrative shadows and nodular shadows. Transbronchial lung biopsy can only determine limited diseases. Surgical lung biopsy using a video-assisted thoracoscopic surgery is an important tool to make pathological diagnosis and to determine therapeutic methods for interstitial pneumonia which need a pattern classification. However, pathological diagnosis made only by a surgical lung biopsy is not sufficient to confirm a disease. A consensus among chest clinician, radiologist, and pathologist is needed to determine a disease. Pathological diagnosis is only definitive for nodular lesions. In cases such as a necrotizing lesion, microbiological examination in the operating room is essential. Therefore, clinicians should not solely rely on pathologists in making a diagnosis. Instead, they should achieve a mutual decision when concluding a diagnosis for respiratory diseases.
東京女子医科大学の論文