The Role of Surgical Lung Biopsy in the Diagnosis of Fibrotic Interstitial Lung Disease Perspective from the Pulmonary Fibrosis Foundation

被引：22

作者：

Hariri, Lida P. ^{[1
]}

Roden, Anja C. ^{[4
]}

Chung, Jonathan H. ^{[5
]}

Danoff, Sonye K. ^{[6
]}

Manjarres, Diana C. Gomez ^{[7
]}

Hartwig, Matthew ^{[8
]}

Kheir, Fayez ^{[9
]}

King, Christopher ^{[10
]}

Kreider, Maryl ^{[11
]}

Lynch, David A. ^{[12
]}

Mooney, Joshua ^{[13
]}

Muniappan, Ashok ^{[2
,3
]}

Myers, Jeffrey L. ^{[14
]}

Paoletti, Luca ^{[15
]}

Raj, Rishi ^{[16
]}

Safdar, Zeenat ^{[17
,18
]}

Suliman, Sally ^{[19
]}

Thavarajah, Krishna ^{[20
]}

Lederer, David J. ^{[21
,22
]}

Rudell, Frederick L. ^{[22
]}

Bianchi, Pauline ^{[22
]}

Shea, Barry S. ^{[23
,24
]}

Ley, Brett ^{[25
,26
]}

机构：

[1] Massachusetts Gen Hosp, Dept Pathol, 55 Fruit St,Warren Bldg 219, Boston, MA 02114 USA

[2] Massachusetts Gen Hosp, Div Thorac Surg, Dept Surg, 55 Fruit St,Warren Bldg 219, Boston, MA 02114 USA

[3] Harvard Univ, Harvard Med Sch, Boston, MA 02115 USA

[4] Mayo Clin, Dept Lab Med & Pathol, Rochester, MN USA

[5] Univ Chicago, Dept Radiol, Chicago, IL 60637 USA

[6] Johns Hopkins Univ, Div Pulm & Crit Care Med, Baltimore, MD USA

[7] Univ Florida, Div Pulm Crit Care & Sleep Med, Gainesville, FL USA

[8] Duke Univ, Med Ctr, Dept Surg, Div Cardiovasc & Thorac Surg, Durham, NC 27710 USA

[9] Tulane Univ, Div Pulm Crit Care Med & Environm Med, New Orleans, LA 70118 USA

[10] Inova Fairfax Hosp, Adv Lung Dis & Lung Transplant Clin, Falls Church, VA USA

[11] Univ Penn, Dept Med, Perelman Sch Med, Philadelphia, PA 19104 USA

[12] Natl Jewish Hlth, Dept Radiol, Denver, CO USA

[13] Stanford Univ, Dept Med, Div Pulm & Crit Care, Palo Alto, CA USA

[14] Michigan Med, Dept Pathol, Ann Arbor, MI USA

[15] Med Univ South Carolina, Coll Med, Div Pulm Crit Care & Sleep Med, Charleston, SC 29425 USA

[16] Stanford Univ, Dept Med, Div Pulm Allergy & Crit Care Med, Stanford, CA 94305 USA

[17] Houston Methodist Hosp, Pulm Crit Care Div, Houston, TX 77030 USA

[18] Cornell Univ, Weill Cornell Coll Med, Houston, TX USA

[19] Univ Louisville, Hlth Sci Ctr, Dept Med, Div Pulm Crit Care & Sleep Med, Louisville, KY 40292 USA

[20] Henry Ford Hosp, Dept Internal Med Pulm & Crit Care Med, Detroit, MI 48202 USA

[21] Columbia Univ, Dept Med, New York, NY USA

[22] Pulm Fibrosis Fdn, Chicago, IL USA

[23] Brown Univ, Rhode Isl Hosp, Div Pulm Crit Care & Sleep Med, Providence, RI 02903 USA

[24] Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USA

[25] Kaiser Permanente San Francisco, Dept Pulm & Crit Care Med, San Francisco, CA USA

[26] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA

来源：

ANNALS OF THE AMERICAN THORACIC SOCIETY | 2021年 / 18卷 / 10期

关键词：

interstitial lung disease; usual interstitial pneumonitis; idiopathic pulmonary fibrosis; surgical lung biopsy; diagnostic guidelines; TRANSBRONCHIAL CRYOBIOPSY; PNEUMONIA; MORTALITY; UTILITY; SAFETY; SURVIVAL; THORACOSCOPY; GUIDELINE; STATEMENT; EFFICACY;

D O I：

10.1513/AnnalsATS.202009-1179FR

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Diagnosis of interstitial lung disease (ILD) requires a multidisciplinary discussion approach that includes clinicians, radiologists, and pathologists. Surgical lung biopsy (SLB) is currently the recommended standard in obtaining pathologic specimens for patients with ILD requiring a tissue diagnosis. The increased diagnostic confidence and accuracy provided by microscopic pathology assessment of SLB specimens must be balanced with the associated risks in patients with ILD. This document was developed by the SLB Working Group of the Pulmonary Fibrosis Foundation, composed of a multidisciplinary group of ILD physicians, including pulmonologists, radiologists, pathologists, and thoracic surgeons. In this document, we present an up-to-date literature review of the indications, contraindications, risks, and alternatives to SLB in the diagnosis of fibrotic ILD; outline an integrated approach to the decision-making around SLB in the diagnosis of fibrotic ILD; and provide practical information to maximize the yield and safety of SLB.

引用

页码：1601 / 1609

页数：9

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