Atlas of Diffuse Lung Diseases: A Multidisciplinary Approach by Giorgia Dalpiaz, Alessandra Cancellieri

By Giorgia Dalpiaz, Alessandra Cancellieri

This atlas is designed as an easy-to-use reference advisor that identifies and illustrates the most important styles of diffuse lung illnesses saw on high-resolution computed tomography (HRCT) after which files in additional element the features and appearances of the person ailments, grouped at the foundation in their widespread development. a different characteristic of the e-book is its interdisciplinary nature: contributions from specialists in a number of specialties are tightly interwoven all through and lots of pathologic correlations are integrated. much less skilled readers will locate that this atlas, with its wealth of figures and invaluable colour coding, steers them in the direction of right interpretation whilst faced by way of the multiplicity and complexity of those ailments; people who are already specialists, however, will enjoy the specified insurance of person ailments, so one can deepen their figuring out. on the finish of the ebook, a graphically attractive and practice-oriented illustrated thesaurus with information and tips bargains one other powerful academic instrument. Given the medical spectrum of ailments coated, this atlas will end up valuable for a variety of healthcare staff, in particular radiologists, pulmonologists, and pathologists.

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Procedures The procedures are performed according to the mediastinal lymph node anatomy as classified by the International Association for the Study of Lung Cancer (IASLC). • TBNA is performed in the conventional, ‘blind’ fashion, with either 19-gauge or 22-gauge needles, during standard flexible bronchoscopy, mostly on an outpatient basis, with the patient under local anaesthesia. Only lymph nodes with a short axis greater than 1 cm at CT are selected for aspiration. At least three passes per node are recommended.

A 34 B Atlas of Diffuse Lung Diseases Elementary Lesions Dalpiaz & Cancellieri Amyloid Microlitiasis Amyloid, whether nodular or interstitial, isolated finding or associated to chronic inflammation or lowgrade lymphomas consists of the deposition of a homogeneous, acellular, pink material which can calcify or ossify (Figure A). Microlitiasis appears as tiny, calcified micronodules filling the alveolar spaces (Figure B). A B LAM Lymphangioleiomyomatosis (LAM) is characterized by the presence of cysts with thin wall containing smooth muscle bundles (Figure A).

A 38 B Atlas of Diffuse Lung Diseases Elementary Lesions Dalpiaz & Cancellieri Centrilobular Fibrosis The size of the process varies from the punctate fibrosis which is barely visible at low power (Minimal changes) because it is concentrically limited to the bronchiole, typically in constrictive bronchiolitis (Figure A ►) to more extended areas of eccentrically radiating stripes, often surrounding an irregularly ectatic bronchiole (typically, in Langerhans cell histiocytosis) (Figure B ). Peripheral Fibrosis The prototype disease is early usual interstitial pneumonia (UIP), with small scars in a peripheral (subpleural, Figure C ¨ ¨) and paraseptal (¨) distribution.

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