Pathology of Idiopathic Interstitial Pneumonias
Pathology of Idiopathic Interstitial Pneumonias
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DOI：
10.4137/ccrpm.s23320
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发表时间：
2015-01-01
影响因子：
2
通讯作者：
Fukuoka, Junya
中科院分区：
文献类型：
--
作者：
Hashisako, Mikiko;Fukuoka, Junya
美国胸科学会/欧洲呼吸学会2013年更新的特发性间质性肺炎（IIPs）分类包括对2002年分类中描述的分类的几项重要修订。在更新的分类中，淋巴样间质性肺炎（LIP）从主要的IIP转移到罕见的IIP，胸膜实质纤维弹性增生症（PPFE）被新纳入罕见的IIP，急性纤维性和组织性肺炎（AFOP）和细支气管中心分布的间质性肺炎被认为是罕见的组织学模式，不可分类的IIP （UCIP）被归类为IIP。然而，最近的报告指出了可能需要进一步评价的关切领域。在这里，我们描述了最新iip的组织病理学特征和他们罕见的组织学模式，并指出了在这种情况下需要考虑的一些问题。
The updated classification of idiopathic interstitial pneumonias (IIPs) in 2013 by American Thoracic Society/European Respiratory Society included several important revisions to the categories described in the 2002 classification. In the updated classification, lymphoid interstitial pneumonia (LIP) was moved from major to rare IIPs, pleuroparenchymal fibroelastosis (PPFE) was newly included in the rare IIPs, acute fibrinous and organizing pneumonia (AFOP) and interstitial pneumonias with a bronchiolocentric distribution are recognized as rare histologic patterns, and unclassifiable IIP (UCIP) was classified as an IIP. However, recent reports indicate the areas of concern that may require further evaluation. Here, we describe the histopathologic features of the updated IIPs and their rare histologic patterns and also point out some of the issues to be considered in this context.