Lungs: Difference between revisions
Jump to navigation
Jump to search
→Common findings: Linked |
→Other pertinent findings: Noted fungal |
||
| (5 intermediate revisions by the same user not shown) | |||
| Line 3: | Line 3: | ||
|author2= | |author2= | ||
}} | }} | ||
<noinclude> | |||
==Tissue sampling== | ==Tissue sampling== | ||
*[[Lung autopsy]] | *[[Lung autopsy]] | ||
| Line 12: | Line 12: | ||
*[[Lung autopsy]] | *[[Lung autopsy]] | ||
*[[Lung wedge resection and lobectomy]] | *[[Lung wedge resection and lobectomy]] | ||
*[[Lung biopsy]] | |||
</noinclude> | |||
==Basic microscopic screening== | ==Basic microscopic screening== | ||
:''For screening of lung autopsies, see '''[[Lung autopsy]]''' '' | :''For screening of lung autopsies, see '''[[Lung autopsy]]''' '' | ||
Mainly look for '''carcinoma'''. {{further|Lung tumor|linebreak=no}} | Mainly look for '''carcinoma'''. {{further|Lung tumor|linebreak=no}} | ||
If '''granulomas''' are seen, generally stain for acid-fast bacteria and fungi. | |||
===Common findings=== | ===Common findings=== | ||
| Line 25: | Line 28: | ||
File:Histopathology of respiratory epithelial shedding.jpg|Respiratory '''epithelial shedding''' in a small bronchus. If present, look for vascular leakage, mucus hypersecretion and/or widespread airway narrowing, together indicating asthma.<ref>{{cite book | last=Madea | first=B | title=Handbook of forensic medicine | publisher=Wiley-Blackwell | publication-place=Hoboken, N.J | year=2014 | isbn=978-1-118-57062-3 | oclc=872114659 | ref=harv}}</ref> | File:Histopathology of respiratory epithelial shedding.jpg|Respiratory '''epithelial shedding''' in a small bronchus. If present, look for vascular leakage, mucus hypersecretion and/or widespread airway narrowing, together indicating asthma.<ref>{{cite book | last=Madea | first=B | title=Handbook of forensic medicine | publisher=Wiley-Blackwell | publication-place=Hoboken, N.J | year=2014 | isbn=978-1-118-57062-3 | oclc=872114659 | ref=harv}}</ref> | ||
</gallery> | </gallery> | ||
===Other pertinent findings=== | |||
<gallery mode=packed heights=220> | |||
File:Histopathology of diffuse alveolar damage.jpg|'''hyaline membranes''', suggesting '''diffuse alveolar damage'''. | |||
File:Histopathology of pulmonary aspergillosis.jpg|Pulmonary '''aspergillosis''', seen as acutely branching septated hyphae.<ref>{{cite web|url=https://wellcomecollection.org/works/rsfbcjkv%7Ctitle=Lung: invasive pulmonary aspergillosis with AIDS|website=Wellcome Collection|accessdate=2024-02-21}} License: CC0 1.0 Universal</ref> | |||
File:Histopathology of pulmonary mucormycosis.jpg|Pulmonary '''mucormycosis''', seen as non-septated and broad-branching, and sometimes branching at right angles (black arrow).<ref name="pmid27423701">{{cite journal| author=Lee JH, Hyun JS, Kang DY, Lee HJ, Park SG| title=Rare complication of bronchoesophageal fistula due to pulmonary mucormycosis after induction chemotherapy for acute myeloid leukemia: a case report. | journal=J Med Case Rep | year= 2016 | volume= 10 | issue= | pages= 195 | pmid=27423701 | doi=10.1186/s13256-016-0991-7 | pmc=4947348 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27423701 }}<br>- "This article is distributed under the terms of the Creative Commons Attribution 4.0 International License"</ref> | |||
</gallery> | |||
For fungi not conforming to the two main forms above, a general pathologist may attempt to get input by readily available expertise locally, but if it cannot be readily speciated, then it's generally acceptable to simply report as fungi present. | |||
{{Bottom}} | {{Bottom}} | ||