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Pulmonary Pathology E-Book

Pulmonary Pathology E-Book

Dani S. Zander | Carol F. Farver

(2016)

Additional Information

Book Details

Abstract

Now fully revised to include recent advances in the field, the second edition of Pulmonary Pathology, a volume in the Foundations in Diagnostic Pathology series, is an essential foundation text for residents and pathologists. The popular template format makes it easy to use, and new information throughout brings you up to date with what’s new in pulmonary pathology and pulmonary medicine, including molecular genetics and personalized medicine therapies. Practical and affordable, this resource by Drs. Dani S. Zander and Carol F. Farver is ideal for study and review as well as everyday clinical practice.

  • Coverage of both common and rare neoplastic and non-neoplastic diseases of the lung and pleura.
  • A focus primarily on diagnosis, with correlations to clinical and radiographic characteristics.
  • Clinical and Pathologic Features summarized in quick-reference boxes for fast retrieval of information.
  • Hundreds of photomicrographs and gross photographs – most in full color – depict important pathologic features, enabling you to form a differential diagnosis and compare your findings with actual cases.
  • Contributions from internationally recognized pathologists, keeping you up to date with the latest information in the field.
  • Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
  • Virtual Microscope slides now available online.
  • Molecular genetics and personalized medicine therapies included throughout.
  • New classification and approaches to diagnosis and management of pediatric diffuse lung diseases.
  • 9/11-related lung disease and other recently described environmental lung diseases.
  • Information on susceptibility genes for individual diseases.
  • Viral linkage and new therapies for idiopathic pulmonary fibrosis, and well as information on endobronchial ultrasound-guided needle aspiration.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC ES1
Pulmonary Pathology i
Other books in this series ii
Pulmonary Pathology: A Volume in the Series Foundations in Diagnostic Pathology iii
Copyright iv
Dedication v
CONTRIBUTORS vii
FOREWORD ix
PREFACE xi
CONTENTS xiii
Pulmonary Pathology xv
1 - Normal Anatomy, Tissue Artifacts, and Incidental Structures 1
NORMAL ANATOMY 1
AIRWAYS 1
GAS EXCHANGE UNITS 2
VASCULATURE 3
LYMPHATICS AND IMMUNE EFFECTOR CELLS 4
PLEURA 4
ARTIFACTS 4
INCIDENTAL FINDINGS 5
SUGGESTED READINGS 7
2 - The Uses and Abuses of the Lung Biopsy 8
INTRODUCTION 8
HISTORY 8
EFFICACY OF THE TRANSBRONCHIAL LUNG BIOPSY AND CRYOBIOPSY 8
PROBLEMS WITH LUNG BIOPSY 11
ISSUES OF TISSUE 11
INTERPRETIVE ISSUES 11
CONCLUSION 13
SUGGESTED READINGS 13
3 - A Pattern-Based Approach to Diagnosis 14
4 - Congenital, Developmental, and Inherited Disorders 42
DIFFUSE DEVELOPMENTAL DISORDERS 42
Clinical Features 42
Differential Diagnosis 43
Prognosis and Therapy 43
SURFACTANT DYSFUNCTION DISORDERS 43
Pathologic Features 46
DEVELOPMENTAL “CYSTIC” LESIONS 46
Clinical and Pathologic Features 46
Differential Diagnosis 48
DISORDERS WITH ABNORMAL BRONCHIAL CONNECTION: BRONCHIAL ATRESIA, INTRALOBAR SEQUESTRATION, AND EXTRALOBAR SEQUESTRATION 49
Clinical and Pathologic Features 49
Differential Diagnosis 50
PRIMARY PULMONARY LYMPHATIC DISORDERS 51
Clinical and Pathologic Features 51
PRIMARY CILIARY DYSKINESIA 55
Clinical Features 55
Pathologic Features 55
CYSTIC FIBROSIS 56
Clinical Features 56
Pathologic Features 58
Prognosis and Therapy 58
SUGGESTED READINGS 59
Diffuse Developmental Disorders 59
Surfactant Dysfunction Disorders 59
Congenital Pulmonary Airway Malformation, Large Cyst Type 59
Lymphatic Disorders 60
Primary Ciliary Dyskinesia 60
Cystic Fibrosis 60
5 - Acquired and Idiopathic Disorders in Neonates and Young Children 61
INTRODUCTION 61
GROWTH ABNORMALITIES 61
Clinical Features 62
Radiologic Features 63
Gross Findings 63
Microscopic Findings 63
Differential Diagnosis 63
Prognosis and Therapy 63
PULMONARY INTERSTITIAL GLYCOGENOSIS 65
Clinical Features 65
Radiologic Features 66
Pathologic Features 66
Immunohistochemistry 66
Ultrastructural Features 66
Differential Diagnosis 66
Prognosis and Therapy 66
NEUROENDOCRINE CELL HYPERPLASIA OF INFANCY 68
Clinical Features 68
Radiologic Features 69
Pathologic Features 69
Immunohistochemistry 69
Differential Diagnosis 70
Prognosis and Therapy 70
PERSISTENT PULMONARY HYPERTENSION OF THE NEWBORN 71
Clinical Features 71
Radiologic Features 72
Pathologic Features 72
Ancillary Studies 72
Immunohistochemistry 72
Differential Diagnosis 72
Prognosis And Therapy 72
COMPLICATIONS OF PREMATURITY AND ITS THERAPY 73
Clinical Features 73
Radiologic Features 75
Pathologic Features 76
Gross Findings 76
Microscopic Findings 76
Differential Diagnosis 77
Prognosis and Therapy 79
SUGGESTED READINGS 79
Growth Abnormalities 79
Pulmonary Interstitial Glycogenosis 80
Neuroendocrine Cell Hyperplasia of Infancy 80
Persistent Pulmonary Hypertension of the Newborn 80
Complications of Prematurity and Its Therapy 80
6 - Lung Neoplasms in Infants and Children 81
INTRODUCTION 81
PLEUROPULMONARY BLASTOMA 81
Clinical Features 82
Radiologic Features 83
Gross Findings 83
Microscopic Findings 83
Differential Diagnosis 84
Prognosis and Therapy 85
CONGENITAL PERIBRONCHIAL MYOFIBROBLASTIC TUMOR 87
Clinical Features 88
Radiologic Features 88
Gross Features 88
Microscopic Features 88
Differential Diagnosis 89
Prognosis and Therapy 90
FETAL LUNG INTERSTITIAL TUMOR 90
Clinical Features 91
Radiologic Features 91
Gross Features 91
Microscopic Features 91
Differential Diagnosis 91
Prognosis and Therapy 92
EPSTEIN-BARR VIRUS–ASSOCIATED SMOOTH MUSCLE TUMOR 93
Clinical Features 93
Gross Findings 94
Microscopic Findings 94
Ancillary Studies 95
Differential Diagnosis 95
Prognosis and Therapy 95
SUGGESTED READINGS 96
General Information 96
Epithelial Neoplasms 96
Pleuropulmonary Blastoma 96
Congenital Peribronchial Myofibroblastic Tumor 96
Fetal Lung Interstitial Tumor 96
Epstein-Barr Virus–Associated Smooth Muscle Tumor 96
7 - Vascular Diseases 98
INTRODUCTION 98
EDEMA 98
Clinical Features 99
Radiologic Features 99
Pathologic Features 99
Gross Findings 99
Microscopic Findings 99
Differential Diagnosis 101
Prognosis and Therapy 101
CONGESTIVE VASCULOPATHY AND CHRONIC PASSIVE CONGESTION 101
Clinical Features 102
Radiologic Features 102
Pathologic Features 102
Gross Findings 102
Microscopic Findings 102
Differential Diagnosis 104
Prognosis and Therapy 106
THROMBOEMBOLISM 106
Clinical Features 106
Radiologic Features 107
Pathologic Features 107
Gross Findings 107
Microscopic Findings 107
Differential Diagnosis 111
Prognosis and Therapy 111
PULMONARY HYPERTENSION 112
Clinical Features 113
Radiologic Features 114
Pathologic Features 114
Gross Findings 114
Microscopic Findings 114
Differential Diagnosis 116
Prognosis and Therapy 116
PULMONARY VENOOCCLUSIVE DISEASE 118
Clinical Features 118
Radiologic Features 119
Pathologic Features 119
Gross Findings 119
Microscopic Findings 119
Differential Diagnosis 120
Prognosis and Therapy 120
PULMONARY CAPILLARY HEMANGIOMATOSIS 120
Clinical Features 120
Radiologic Features 121
Pathologic Features 121
Gross Findings 121
Microscopic Findings 121
Differential Diagnosis 122
Prognosis and Therapy 122
LYMPHANGIOMATOSIS 122
Clinical Features 122
Radiologic Features 123
Pathologic Features 123
Microscopic Findings 123
Differential Diagnosis 123
Prognosis and Therapy 123
ARTERIOVENOUS MALFORMATIONS 123
Clinical Features 124
Radiologic Features 124
Pathologic Features 125
Gross Findings 125
Microscopic Findings 125
Prognosis and Therapy 125
DRUG-RELATED VASCULAR DISEASES 125
SUGGESTED READINGS 125
Edema 125
Thromboembolism 125
Pulmonary Hypertension 125
Pulmonary Venoocclusive Disease 125
Pulmonary Capillary Hemangiomatosis 126
Lymphangiomatosis 126
Pulmonary Arteriovenous Malformation 126
8 - Vasculitides and Other Causes of Pulmonary Hemorrhage 127
INTRODUCTION 127
GRANULOMATOSIS WITH POLYANGIITIS (WEGENER’S GRANULOMATOSIS) 127
Clinical Features 128
Radiologic Features 129
Pathologic Features 129
Differential Diagnosis 130
Prognosis And Therapy 134
Clinical Features 135
Radiologic Features 136
Pathologic Features 136
Differential Diagnosis 138
Prognosis and Therapy 138
MICROSCOPIC POLYANGIITIS 138
Clinical Features 139
Radiologic Features 139
Pathologic Features 139
Differential Diagnosis 141
Prognosis and Therapy 141
NECROTIZING SARCOID GRANULOMATOSIS 141
Clinical Features 141
Radiologic Features 141
Pathologic Features 142
Gross Findings 142
Microscopic Findings 142
Differential Diagnosis 142
Prognosis and Therapy 143
ANTIBASEMENT MEMBRANE ANTIBODY DISEASE (GOODPASTURE’S SYNDROME) 144
Clinical Features 144
Radiologic Features 145
Pathologic Features 145
Gross Findings 145
Microscopic Findings 145
Differential Diagnosis 145
Prognosis and Therapy 145
IDIOPATHIC PULMONARY HEMOSIDEROSIS 146
Clinical Features 146
Radiologic Features 147
Pathologic Features 147
Gross Findings 147
Microscopic Findings 147
Differential Diagnosis 147
Prognosis and Therapy 147
BEHÇET’S DISEASE 148
Clinical Features 148
Radiologic Features 148
Pathologic Features 148
Microscopic Findings 148
Differential Diagnosis 148
Prognosis and Therapy 148
OTHER UNCOMMON PULMONARY VASCULITIDES 149
Polyarteritis Nodosa 149
Henoch-Schönlein Purpura 149
Takayasu’s Arteritis 149
Giant Cell Arteritis 149
SUGGESTED READINGS 149
Granulomatosis With Polyangiitis 149
Eosiniphilic Granulomatosis With Polyangiitis 149
Necrotizing Sarcoid Granulomatosis 149
Antibasement Membrane Antibody Disease (Goodpasture’s Syndrome) 149
Idiopathic Pulmonary Hemosiderosis 150
Behçet’s Disease 150
9 - Acute Lung Injury 151
INTRODUCTION 151
DIFFUSE ALVEOLAR DAMAGE 151
Radiologic Features 152
Gross Findings 152
Microscopic Findings 152
Differential Diagnosis 152
Acute Eosinophilic Pneumonia 156
Nonspecific Interstitial Pneumonia, Fibrosing Variant 156
Usual Interstitial Pneumonia 156
10 - Bacterial Diseases 163
INTRODUCTION 163
COMMON BACTERIAL PNEUMONIAS 163
STREPTOCOCCUS PNEUMONIAE 163
Clinical Features 163
Radiologic Features 164
Pathologic Features 164
Gross Findings 164
Microscopic Findings 164
Ancillary Studies 165
Microbiology 165
Differential Diagnosis 165
Prognosis and Therapy 165
STAPHYLOCOCCUS SPECIES 165
INTRODUCTION 165
Clinical Features 166
Radiologic Features 167
Pathologic Features 167
Gross Findings 167
Microscopic Findings 167
Ancillary Studies 167
Microbiology 167
Differential Diagnosis 169
Prognosis and Therapy 169
KLEBSIELLA PNEUMONIAE 169
INTRODUCTION 169
Clinical Features 169
Radiologic Features 169
Pathologic Features 170
Gross Findings 170
Microscopic Findings 170
Ancillary Studies 170
Microbiology 170
Differential Diagnosis 170
Prognosis and Therapy 170
ESCHERICHIA COLI 170
INTRODUCTION 170
Clinical Features 170
Radiologic Features 171
Pathologic Features 171
Gross Findings 171
Microscopic Findings 171
Ancillary Studies 171
Microbiology 171
Differential Diagnosis 171
Prognosis and Therapy 171
STREPTOCOCCUS SPECIES 171
INTRODUCTION 171
Clinical Features 172
Radiologic Features 172
Pathologic Features 172
Gross Findings 172
Microscopic Findings 172
Ancillary Studies 172
Microbiology 172
Differential Diagnosis 173
Prognosis and Therapy 173
HAEMOPHILUS INFLUENZAE 173
INTRODUCTION 173
Clinical Features 174
Radiologic Features 174
Pathologic Features 174
Gross Findings 174
Microscopic Findings 174
Ancillary Studies 174
Microbiology 174
Differential Diagnosis 174
Prognosis and Therapy 174
PSEUDOMONAS AERUGINOSA 174
INTRODUCTION 174
Clinical Features 175
Radiologic Features 175
Pathologic Features 175
Gross Findings 175
Microscopic Findings 175
Ancillary Studies 175
Microbiology 175
Differential Diagnosis 177
Prognosis and Therapy 177
LEGIONELLA SPECIES 177
INTRODUCTION 177
Clinical Features 177
Radiologic Features 178
Pathologic Features 178
Gross Findings 178
Microscopic Findings 178
Ancillary Studies 178
Microbiology 178
Differential Diagnosis 178
Prognosis and Therapy 178
NOCARDIOSIS (NOCARDIA SPECIES) 178
INTRODUCTION 178
Clinical Features 180
Radiologic Features 180
Pathologic Features 180
Gross Findings 180
Microscopic Findings 180
Ancillary Studies 180
Microbiology 180
Differential Diagnosis 180
Prognosis and Therapy 180
ACTINOMYCOSIS (ACTINOMYCES SPECIES) 180
INTRODUCTION 180
Clinical Features 181
Radiologic Features 182
Pathologic Features 182
Gross Findings 182
Microscopic Findings 182
Ancillary Studies 182
Microbiology 182
Differential Diagnosis 183
Prognosis and Therapy 183
SEQUELAE OF ASPIRATION 183
Clinical Features 183
INTRODUCTION 183
Radiologic Features 183
Pathologic Features 184
Gross Findings 184
Microscopic Findings 184
Ancillary Studies 185
Microbiology 185
Differential Diagnosis 185
Prognosis and Therapy 185
UNCOMMON BACTERIAL PNEUMONIAS 185
PULMONARY MELIOIDOSIS (BURKHOLDERIA PSEUDOMALLEI) 185
INTRODUCTION 185
Clinical Features 185
11 - Mycobacterial Diseases 201
TUBERCULOSIS 201
INTRODUCTION 201
Clinical Features 201
Radiologic Features 203
Pathologic Features 203
Gross Findings 203
Microscopic Findings 203
Complications of Pulmonary Tuberculosis 205
Staining Characteristics of Mycobacteria 206
Ancillary Studies 206
Immunohistochemistry 206
Cytologic Diagnosis 207
Ultrastructural Studies 207
Molecular Studies 207
Differential Diagnosis 207
Prognosis and Therapy 208
NONTUBERCULOUS MYCOBACTERIAL INFECTIONS 209
INTRODUCTION 209
CLINICOPATHOLOGIC FEATURES 209
CAVITARY LUNG DISEASE 210
DISSEMINATED DISEASE 211
CHRONIC BRONCHIOLITIS WITH BRONCHIECTASIS 211
HYPERSENSITIVITY PNEUMONITIS 211
Differential Diagnosis 213
Prognosis and Therapy 215
Nontuberculous Mycobacteria 216
12 - Fungal Diseases 217
INTRODUCTION 217
COMMON FUNGAL INFECTIONS 217
HISTOPLASMOSIS 217
Clinical Features 217
Radiologic Features 218
Pathologic Features 218
Gross Findings 218
Microscopic Findings 218
Differential Diagnosis 220
Prognosis and Therapy 220
BLASTOMYCOSIS 220
Clinical Features 220
Radiologic Features 221
Pathologic Features 221
Gross Findings 221
Microscopic Findings 221
Differential Diagnosis 221
Prognosis and Therapy 221
CRYPTOCOCCOSIS 221
Clinical Features 222
Radiologic Features 222
Pathologic Features 222
Gross Findings 222
Microscopic Findings 223
Differential Diagnosis 223
Prognosis and Therapy 223
CANDIDIASIS 223
Clinical Features 224
Radiologic Features 224
Pathologic Features 224
Gross Findings 224
Microscopic Findings 224
Differential Diagnosis 225
Prognosis and Therapy 225
ASPERGILLOSIS 225
Clinical Features 226
Radiologic Features 226
Pathologic Features 226
Gross Findings 226
Microscopic Findings 227
Ancillary Studies 227
Differential Diagnosis 227
Prognosis and Therapy 227
MUCORMYCOSIS (ZYGOMYCOSIS) 227
Clinical Features 227
Radiologic Features 229
Pathologic Features 229
Gross Findings 229
Microscopic Findings 229
Differential Diagnosis 229
Prognosis and Therapy 229
COCCIDIOIDOMYCOSIS 230
Radiologic Features 230
Pathologic Features 231
Gross Findings 231
Microscopic Findings 231
Differential Diagnosis 231
Prognosis and Therapy 232
PHAEOHYPHOMYCOSIS 232
Clinical Features 233
Pathologic Features 233
Microscopic Findings 233
Differential Diagnosis 233
Prognosis and Therapy 233
PNEUMOCYSTOSIS 234
Clinical Features 234
Radiologic Features 234
Pathologic Features 235
Gross Findings 235
Microscopic Findings 235
Ancillary Studies 236
Differential Diagnosis 236
Prognosis and Therapy 236
UNCOMMON FUNGAL INFECTIONS 236
PSEUDALLESCHERIASIS 236
FUSARIOSIS 237
SPOROTRICHOSIS 237
PARACOCCIDIOIDOMYCOSIS 238
TRICHOSPORONOSIS 239
GEOTRICHOSIS 240
PENICILLIOSIS 240
Diagnostic Tests 240
Histoplasmosis 240
Blastomycosis 241
Cryptococcosis 241
Candidiasis 241
Aspergillosis 241
Mucormycosis 241
Coccidioidomycosis 241
Phaeohyphomycosis 241
Pneumocystosis 241
Pseudallescheriasis 242
Fusariosis 242
Sporotrichosis 242
Paracoccidioidomycosis 242
Trichosporonosis 242
Geotrichosis 242
Penicilliosis 243
13 - Viral Diseases 244
INTRODUCTION 244
ADENOVIRUSES 244
Clinical Features 244
Radiologic Features 245
Gross Findings 245
Microscopic Findings 245
Ancillary Studies 246
Differential Diagnosis 246
Prognosis and Therapy 246
HANTAVIRUSES 247
Clinical Features 248
Radiologic Features 249
Gross Findings 249
Microscopic Findings 249
Ancillary Studies 249
Differential Diagnosis 249
Prognosis and Therapy 249
Clinical Features 251
Radiologic Features 251
Gross Findings 252
Microscopic Findings 252
Ancillary Studies 252
Differential Diagnosis 252
Prognosis and Therapy 252
CYTOMEGALOVIRUS 253
Clinical Features 254
Radiologic Features 255
Gross Findings 255
Microscopic Findings 255
Ancillary Studies 256
Differential Diagnosis 256
Prognosis and Therapy 257
HERPES SIMPLEX VIRUSES 257
Clinical Features 257
Radiologic Features 258
Gross Findings 258
Microscopic Findings 258
Ancillary Studies 258
Differential Diagnosis 259
Prognosis and Therapy 260
VARICELLA ZOSTER VIRUS 260
Clinical Features 260
Radiologic Features 261
Gross Findings 261
Microscopic Findings 261
Ancillary Studies 261
Differential Diagnosis 263
Prognosis and Therapy 263
INFLUENZA VIRUSES 263
Clinical Features 263
Radiologic Features 264
Gross Findings 264
Microscopic Findings 264
Ancillary Studies and Differential Diagnosis 265
Prognosis and Therapy 267
MEASLES VIRUS 268
Clinical Features 268
Radiologic Features 268
Gross Findings 268
Microscopic Findings 269
Ancillary Studies 269
Differential Diagnosis 269
Prognosis and Therapy 269
HUMAN PARAINFLUENZA VIRUSES 271
Clinical Features 271
Radiologic Features 271
Gross Findings 271
Microscopic Findings 271
Ancillary Studies 272
Differential Diagnosis 272
Prognosis and Therapy 272
RESPIRATORY SYNCYTIAL VIRUS 272
Clinical Features 272
Radiologic Features 273
Gross Findings 273
Microscopic Findings 274
Ancillary Studies 274
Differential Diagnosis 275
Prognosis and Therapy 275
HUMAN METAPNEUMOVIRUS 276
Clinical Features 276
Radiologic Features 276
Gross Findings 276
Microscopic Findings 277
Ancillary Studies 277
Differential Diagnosis 278
Prognosis and Therapy 278
ENTEROVIRUSES 278
Clinical Features 278
Radiologic Features 279
Gross Findings 279
Microscopic Findings 279
Ancillary Studies 280
Differential Diagnosis 280
Prognosis and Therapy 280
HENIPAVIRUSES 280
Clinical Features 280
Radiologic Features 281
Gross Findings 281
Microscopic Findings 281
Ancillary Studies and Differential Diagnosis 281
Prognosis and Therapy 281
HEMORRHAGIC FEVER VIRUSES 282
Clinical Features 283
Radiologic Features 283
Gross Findings 283
Microscopic Findings 284
Ancillary Studies and Differential Diagnosis 285
Prognosis and Therapy 285
Adenoviruses 285
Hantaviruses 285
Severe Acute Respiratory Syndrome and Middle East Respiratory Syndrome 285
Cytomegalovirus 286
Herpes Simplex Viruses 286
Varicella Zoster Virus 286
Influenza Viruses 286
Measles Virus 286
Human Parainfluenza Virus 287
Respiratory Syncytial Virus 287
Human Metapneumovirus 287
Enteroviruses 287
Henipahviruses 287
Hemorrhagic Fever Viruses 288
14 - Human Parasitic Pulmonary Infections 289
INTRODUCTION 289
PROTOZOAL CAUSES OF LUNG DISEASE 289
FALCIPARUM MALARIA (PLASMODIUM FALCIPARUM) 290
Clinical Features 290
Radiologic Features 290
Gross Findings 290
Microscopic Findings 291
Ancillary Studies 291
Differential Diagnosis 291
Prognosis and Therapy 291
TOXOPLASMOSIS (TOXOPLASMA GONDII) 293
Clinical Features 293
Radiologic Features 294
Gross Findings 294
Microscopic Findings 294
Ancillary Studies 294
Differential Diagnosis 295
Prognosis and Therapy 295
LESS COMMON PROTOZOAL CAUSES OF LUNG DISEASE 295
HELMINTHIC CAUSES OF LUNG DISEASE 295
NEMATODES 295
STRONGYLOIDIASIS (STRONGYLOIDES STERCORALIS) 296
Clinical Features 296
Radiologic Features 297
Pathologic Features 297
Ancillary Studies 297
Differential Diagnosis 298
Prognosis and Therapy 298
VISCERAL LARVA MIGRANS 298
Clinical Features 299
Radiologic Features 299
Pathologic Features 299
Ancillary Studies 300
Differential Diagnosis 300
Prognosis and Therapy 301
PULMONARY DISEASES CAUSED BY FILARIAL WORMS 301
DIROFILARIASIS (DIROFILARIA IMMITIS) 301
Clinical Features 301
Radiologic Features 302
Pathologic Features 302
Gross Findings 302
Microscopic Findings 302
Ancillary Studies 302
Differential Diagnosis 302
Prognosis and Therapy 303
TROPICAL PULMONARY EOSINOPHILIA AND ABERRANT FILARIA 303
Clinical Features 303
Radiologic Features 304
Pathologic Features 304
Ancillary Studies 305
Differential Diagnosis 305
Prognosis and Therapy 305
OTHER NEMATODES CAUSING LUNG DISEASE 306
CESTODAL CAUSES OF LUNG DISEASE 306
ECHINOCOCCOSIS (ECHINOCOCCUS GRANULOSUS, E. MULTILOCULARIS) 306
Clinical Features 306
Radiologic Features 307
Pathologic Features 307
Ancillary Studies 308
Differential Diagnosis 309
Prognosis and Therapy 309
TREMATODAL CAUSES OF LUNG DISEASE 309
PARAGONIMIASIS (PARAGONIMUS SPECIES) 309
Clinical Features 309
Radiologic Features 309
Pathologic Features 310
Gross Findings 310
Microscopic Findings 310
Ancillary Studies 312
Differential Diagnosis 312
Prognosis and Therapy 312
OTHER TREMATODES CAUSING LUNG DISEASE 312
MIMICS OF PARASITES IN HUMAN TISSUES 313
Falciparum Malaria (Malarial Lung) 313
Toxoplasmosis (Toxoplasma gondii) 313
Strongyloidiasis (Strongyloides stercoralis) 314
Visceral Larva Migrans 314
Filarial Worms 314
Tropical Pulmonary Eosinophilia and Aberrant Filaria 314
Echinococcosis (Echinococcus granulosus, E. multilocularis) 314
Paragonimiasis (Paragonimus species) 314
15 - Chlamydial, Mycoplasmal, Rickettsial, and Ehrlichial Diseases 315
INTRODUCTION 315
MYCOPLASMA PNEUMONIA 315
CHLAMYDIAL PNEUMONIAS 316
Q FEVER PNEUMONIA 318
RICKETTSIAL PNEUMONIAS 320
SCRUB TYPHUS PNEUMONIA 322
EHRLICHIAL PNEUMONIA 324
ANAPLASMA PNEUMONIA 325
Chlamydia 326
Q Fever 326
Rickettsiae 326
16 - Idiopathic Interstitial Pneumonias 327
INTRODUCTION 327
IDIOPATHIC PULMONARY FIBROSIS/USUAL INTERSTITIAL PNEUMONIA 328
Clinical Features 328
Radiologic Features 329
Chest Radiography 329
High-Resolution Computerized Tomography 329
Pathologic Features 329
Gross Findings 329
Microscopic Findings 330
Differential Diagnosis 331
Prognosis and Therapy 332
IDIOPATHIC NONSPECIFIC INTERSTITIAL PNEUMONIA 332
Clinical Features 332
Radiologic Features 333
Chest Radiography 333
High-Resolution Computed Tomography 333
Pathologic Features 333
Differential Diagnosis 333
Prognosis and Therapy 334
CRYPTOGENIC ORGANIZING PNEUMONIA 334
Clinical Features 336
Radiologic Features 336
Chest Radiography 336
High-Resolution Computed Tomography 336
Gross Findings 336
Microscopic Findings 336
Differential Diagnosis 336
Prognosis and Therapy 336
ACUTE INTERSTITIAL PNEUMONIA 337
Clinical Features 338
Radiologic Features 338
Chest Radiography 338
High-Resolution Computed Tomography 338
Pathologic Features 338
Differential Diagnosis 338
Prognosis And Therapy 339
RESPIRATORY BRONCHIOLITIS–ASSOCIATED INTERSTITIAL LUNG DISEASE, DESQUAMATIVE INTERSTITIAL PNEUMONIA, AND RESPIRATORY BRONCHIOLIT... 339
Clinical Features 339
Radiologic Features 339
Chest Radiography 339
High-Resolution Computed Tomography 339
Pathologic Features 339
Differential Diagnosis 341
Prognosis and Therapy 342
LYMPHOID INTERSTITIAL PNEUMONIA 342
Clinical Features 343
Radiologic Features 343
Chest Radiography 343
High-Resolution Computed Tomography 343
Gross Findings 343
Microscopic Findings 343
Ancillary Studies 343
Differential Diagnosis 343
Prognosis and Therapy 344
IDIOPATHIC PLEUROPARENCHYMAL FIBROELASTOSIS 344
UNCLASSIFIABLE IDIOPATHIC INTERSTITIAL PNEUMONIA 345
Idiopathic Pulmonary Fibrosis/Usual Interstitial Pneumonia 345
Idiopathic Nonspecific Interstitial Pneumonia 345
Cryptogenic Organizing Pneumonia 346
Acute Interstitial Pneumonia 346
Respiratory Bronchiolitis–Associated Interstitial Lung Disease, Desquamative Interstitial Pneumonia, and Respiratory Bronchiolit... 346
Lymphoid Interstitial Pneumonia 346
Idiopathic Pleuroparenchymal Fibroelastosis and Unclassifiable Idiopathic Interstitial Pneumonia 346
17 - Other Interstitial Lung Diseases 347
HYPERSENSITIVITY PNEUMONITIS 347
Clinical Features 347
Radiologic Features 347
Pathologic Features 347
Gross Findings 347
Microscopic Findings 348
Cytologic Findings 351
Ancillary Studies 351
Immunohistochemistry 351
Differential Diagnosis 351
Prognosis and Therapy 351
SARCOIDOSIS 351
Clinical Features 351
Radiologic Features 352
Pathologic Features 353
Gross Findings 353
Microscopic Findings 353
Cytologic Findings 353
Differential Diagnosis 353
Prognosis and Therapy 357
LYMPHANGIOLEIOMYOMATOSIS 357
Clinical Features 357
Radiologic Features 358
Pathologic Features 358
Gross Findings 358
Microscopic Findings 358
Ancillary Studies 358
Immunohistochemistry 358
Ultrastructural Studies 358
Differential Diagnosis 358
Prognosis and Therapy 362
PULMONARY ALVEOLAR PROTEINOSIS 362
Clinical Features 362
Radiologic Features 362
Pathologic Features 363
Gross Findings 363
Microscopic Findings 363
Cytologic Findings 363
Ancillary Studies 365
Immunohistochemistry 365
Ultrastructural Studies 365
Differential Diagnosis 365
Prognosis and Therapy 365
ACUTE EOSINOPHILIC PNEUMONIA 366
Clinical Features 366
Radiologic Features 366
Pathologic Features 366
Microscopic Findings 366
Cytologic Findings 366
Differential Diagnosis 367
Prognosis and Therapy 368
CHRONIC EOSINOPHILIC PNEUMONIA 368
Clinical Features 368
Radiologic Features 368
Pathologic Features 369
Gross Findings 369
Microscopic Findings 369
Cytologic Findings 369
Differential Diagnosis 369
Prognosis and Therapy 371
OTHER BRONCHIOLOCENTRIC PATTERNS OF INTERSTITIAL LUNG DISEASE 371
Prognosis and Therapy 372
Sarcoidosis 372
Lymphangioleiomyomatosis 372
Pulmonary Alveolar Proteinosis 373
Acute Eosinophilic Pneumonia 373
Chronic Eosinophilic Pneumonia 373
Other Bronchiolocentric Patterns of Interstitial Lung Disease 373
18 - Environmental- and Toxin-Induced Lung Diseases 374
INTRODUCTION 374
ASBESTOSIS AND OTHER ASBESTOS-RELATED LUNG PATHOLOGY 374
Clinical Features 374
Radiologic Features 375
Pathologic Features 376
Gross Findings 376
Microscopic Findings 376
Ancillary Studies 376
Differential Diagnosis 379
Prognosis and Therapy 379
SILICOSIS 379
Clinical Features 380
Radiologic Features 380
Pathologic Features 380
Gross Findings 380
Microscopic Findings 380
Differential Diagnosis 381
Prognosis and Therapy 381
COAL MINE DUST LUNG DISEASE 381
Clinical Features 382
Radiologic Features 382
Pathologic Features 384
Gross Findings 384
Microscopic Findings 385
Differential Diagnosis 385
19 - Drug Reactions and Other Iatrogenic Pulmonary Diseases 396
INTRODUCTION 396
AMIODARONE 397
CONVENTIONAL CHEMOTHERAPEUTIC AGENTS 399
BLEOMYCIN 399
CYCLOPHOSPHAMIDE 400
METHOTREXATE 401
TARGETED THERAPIES 401
TYROSINE KINASE INHIBITORS 401
ANTIANGIOGENIC THERAPIES 402
MAMMALIAN TARGET OF RAPAMYCIN INHIBITORS 402
MESALAMINE 402
NITROFURANTOIN 403
STATINS 404
RADIATION 405
ILLICIT DRUG USE 406
Amiodarone 407
Chemotherapeutic Agents 408
Illicit Drugs 408
Mesalamine 408
Nitrofurantoin 408
Radiation 408
Statins 408
Targeted Agents 408
20 - Emphysema and Diseases of Large Airways 409
INTRODUCTION 409
EMPHYSEMA 409
Clinical and Laboratory Features 410
Radiologic Features 411
Gross Findings 411
Microscopic Findings 411
Prognosis and Therapy 412
CHRONIC BRONCHITIS 413
Clinical Features 413
Radiologic Features 413
Pathologic Features 413
Prognosis and Therapy 414
ASTHMA 414
Clinical Features 414
Radiologic Features 416
Pathologic Features 416
Differential Diagnosis 417
Prognosis and Therapy 417
ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS 417
Clinical and Laboratory Features 417
Radiologic Features 419
Pathologic Features 419
Differential Diagnosis 420
Prognosis and Therapy 420
BRONCHIECTASIS 420
Clinical Features 423
Radiologic Features 423
Gross Findings 423
Microscopic Findings 423
Prognosis and Therapy 424
Emphysema 426
Chronic Bronchitis 426
Asthma 426
Allergic Bronchopulmonary Aspergillosis 426
Bronchiectasis 426
21 - Diseases of Small Airways 427
INTRODUCTION 427
ACUTE BRONCHIOLITIS 427
Clinical Features 429
Pulmonary Function Testing 430
Radiologic Features 430
Pathologic Features 430
Differential Diagnosis 430
Prognosis and Therapy 432
CONSTRICTIVE BRONCHIOLITIS 432
Pulmonary Function Testing 433
Radiologic Features 433
Pathologic Features 433
Differential Diagnosis 434
Prognosis and Therapy 434
FOLLICULAR BRONCHIOLITIS 435
Clinical Features 435
Pulmonary Function Testing 436
Radiologic Features 436
Pathologic Features 436
Differential Diagnosis 436
Prognosis and Therapy 437
RESPIRATORY BRONCHIOLITIS 437
DIFFUSE PANBRONCHIOLITIS 437
Clinical Features 438
Pulmonary Function Testing 438
Radiologic Features 438
Laboratory Features 439
Pathologic Features 440
Differential Diagnosis 440
Prognosis and Therapy 440
MINERAL DUST AIRWAY DISEASE 442
Clinical Features 442
Radiologic Features 442
Pulmonary Function Testing 442
Pathologic Features 442
Differential Diagnosis 443
Prognosis and Therapy 443
PERIBRONCHIOLAR METAPLASIA 443
Acute Bronchiolitis 443
Constrictive Bronchiolitis 443
Follicular Bronchiolitis 443
Respiratory Bronchiolitis 444
Diffuse Panbronchiolitis 444
Mineral Dust Airway Disease 444
Peribronchiolar Metaplasia 444
22 - Lymphoid Lesions of the Lung 445
INTRODUCTION 445
INTRAPARENCHYMAL LYMPH NODE 445
Clinical Features 445
Radiologic Features 446
Gross Findings 446
Microscopic Findings 446
Differential Diagnosis 446
LYMPHOID HYPERPLASIA 447
FOLLICULAR BRONCHIOLITIS 447
Clinical Features 447
Radiologic Features 448
Gross Findings 448
Microscopic Findings 448
Immunohistochemistry 450
Differential Diagnosis 450
Prognosis and Therapy 450
LYMPHOID INTERSTITIAL PNEUMONIA 450
Clinical Features 451
Radiologic Features 451
Microscopic Findings 451
Immunohistochemistry 453
Molecular Analysis 453
Differential Diagnosis 453
Prognosis and Therapy 453
NODULAR LYMPHOID HYPERPLASIA 453
Clinical Features 454
Radiologic Features 454
Gross Findings 454
Microscopic Findings 454
Immunohistochemistry 456
Molecular Analysis 456
Differential Diagnosis 456
Prognosis and Therapy 456
IGG4-RELATED DISEASE 456
Clinical Features 456
Radiologic Features 457
Gross Findings 457
Microscopic Findings 457
Ancillary Studies 457
Immunohistochemistry 458
Differential Diagnosis 458
Prognosis and Therapy 459
PULMONARY EXTRANODAL MARGINAL ZONE LYMPHOMA OF BRONCHUS–ASSOCIATED LYMPHOID TISSUE 460
Clinical Features 460
Radiologic Features 461
Gross Findings 461
Microscopic Findings 461
Immunohistochemistry/Flow Cytometry 462
Molecular Analysis 462
Differential Diagnosis 462
Prognosis and Therapy 463
LYMPHOMATOID GRANULOMATOSIS 463
Clinical Features 464
Radiologic Features 464
Gross Findings 464
Microscopic Findings 464
Immunohistochemistry 464
Molecular Analysis 464
Differential Diagnosis 464
Prognosis and Therapy 467
POSTTRANSPLANT LYMPHOPROLIFERATIVE DISORDERS 467
Clinical Features 467
Radiologic Features 467
Gross Findings 467
Microscopic Findings 470
Immunohistochemistry 470
Molecular Analysis 470
Differential Diagnosis 470
Prognosis and Therapy 470
DIFFUSE LARGE B-CELL LYMPHOMA 470
Clinical Features 471
Radiologic Features 471
Gross Findings 471
Microscopic Findings 471
Immunohistochemistry/Flow Cytometry 471
Molecular Analysis 471
Differential Diagnosis 471
Prognosis and Therapy 473
PRIMARY PULMONARY HODGKIN LYMPHOMA 473
Clinical Features 474
Radiologic Features 474
Gross Findings 474
Microscopic Findings 474
Immunohistochemistry 475
Differential Diagnosis 475
Prognosis and Therapy 475
PULMONARY INVOLVEMENT BY LEUKEMIA/LYMPHOMA 476
Clinical Features 476
Radiologic Features 476
Microscopic Findings 476
Special Stains/Immunohistochemistry/Flow Cytometry 476
Molecular Analysis 476
Differential Diagnosis 477
Prognosis and Therapy 477
INTRAVASCULAR LYMPHOMA 477
Clinical Features 477
Radiologic Features 478
Microscopic Findings 478
Immunohistochemistry 478
Molecular Analysis 478
Differential Diagnosis 479
Prognosis and Therapy 479
PRIMARY EFFUSION LYMPHOMA (BODY CAVITY–BASED AIDS-RELATED LYMPHOMA) 479
Clinical Features 479
Radiologic Features 479
Cytologic Findings 480
Immunohistochemistry/Flow Cytometry 480
Molecular Analysis 480
Differential Diagnosis 480
Prognosis and Therapy 481
DIFFUSE LARGE B-CELL LYMPHOMA ASSOCIATED WITH CHRONIC INFLAMMATION (PYOTHORAX-ASSOCIATED LYMPHOMA) 481
Clinical Features 481
Radiologic Features 481
Gross Findings 481
Microscopic Findings 482
Immunohistochemistry 482
Molecular Analysis 482
Differential Diagnosis 482
Prognosis and Therapy 483
OTHER RARE LYMPHOPROLIFERATIVE DISORDERS 483
Follicular Bronchiolitis 483
Lymphoid Interstitial Pneumonia 483
Nodular Lymphoid Hyperplasia 483
IgG4-Related Disease 483
Pulmonary Extranodal Marginal Zone Lymphoma of BALT 484
Lymphomatoid Granulomatosis 484
Posttransplant Lymphoproliferative Disorders 484
Primary Pulmonary Diffuse Large B-Cell Lymphoma 484
Primary Pulmonary Hodgkin Lymphoma 484
Pulmonary Involvement by Leukemia/Lymphoma 484
Intravascular Lymphoma 484
Primary Effusion Lymphoma 485
Pyothorax-Associated Lymphoma 485
Extramedullary Plasmacytoma 485
Primary Anaplastic Large Cell Lymphoma 485
23 - Uncommon Histiocytic and Dendritic Cell Proliferations 486
INTRODUCTION 486
PULMONARY LANGERHANS CELL HISTIOCYTOSIS 486
Clinical Features 486
Radiologic Features 488
Gross Findings 488
Microscopic Findings 488
Cytologic Findings 488
Immunohistochemistry 488
Ultrastructural Studies 491
Differential Diagnosis 491
Prognosis and Therapy 491
ROSAI-DORFMAN DISEASE 491
Clinical Features 491
Radiologic Features 491
Gross Findings 492
Microscopic Findings 492
Immunohistochemistry 492
Differential Diagnosis 494
Prognosis and Therapy 494
ERDHEIM-CHESTER DISEASE 494
Clinical Features 494
Radiologic Features 494
Microscopic Findings 495
Immunohistochemistry 495
Ultrastructural Studies 495
Differential Diagnosis 497
Prognosis and Therapy 497
Pulmonary Langerhans Cell Histiocytosis 497
Rosai-Dorfman Disease 497
Erdheim-Chester Disease 498
24 - Transplantation-Related Lung Pathology 499
COMPLICATIONS OF LUNG TRANSPLANTATION 499
VASCULAR COMPLICATIONS 499
AIRWAY ANASTOMOTIC COMPLICATIONS 499
PRIMARY GRAFT DYSFUNCTION 500
REJECTION 500
ACUTE ANTIBODY-MEDIATED REJECTION 500
Clinical Features 500
Microscopic Findings 500
Immunohistochemistry 501
Differential Diagnosis 501
Prognosis and Therapy 502
ACUTE REJECTION 502
Clinical Features 502
Radiologic Features 502
Microscopic Findings 502
Bronchoalveolar Lavage 505
Differential Diagnosis 505
Prognosis and Therapy 505
CHRONIC REJECTION 505
Clinical Features 506
Radiologic Features 507
Gross Findings 507
Microscopic Findings 507
Differential Diagnosis 507
Prognosis and Therapy 508
INFECTIONS 508
Clinical Features 508
Radiologic Features 508
Gross Findings 508
Microscopic Findings 509
Microbiologic Cultures 509
Special Stains 509
Immunohistochemistry 509
Differential Diagnosis 509
Prognosis and Therapy 510
RECURRENT DISEASES 510
POSTTRANSPLANT LYMPHOPROLIFERATIVE DISORDERS 510
GRAFT-VERSUS-HOST DISEASE IN LUNG 510
Clinical Features 510
Differential Diagnosis 512
Vascular Complications 512
Airway Complications 512
Primary Graft Dysfunction 512
Rejection 512
Antibody-Mediated Rejection 513
Acute Rejection 513
Chronic Rejection 513
Infections 513
Posttransplant Lymphoproliferative Disorders 513
Pulmonary Infectious Complications of Organ and Bone Marrow Transplantation 513
Graft-Versus-Host Disease in Lung 513
25 - Other Nonneoplastic Focal Lesions, Inclusions, and Depositions 514
INTRODUCTION 514
TRACHEOBRONCHOPATHIA OSTEOCHONDROPLASTICA 514
Clinical Features 514
Radiologic Features 515
Gross Findings 515
Microscopic Findings 515
Ancillary Studies 515
Differential Diagnosis 515
Prognosis and Therapy 516
LIPOID PNEUMONIA 516
Clinical Features 516
Radiologic Features 517
Gross Findings 517
Microscopic Findings 517
Ultrastructural Examination 517
Fine-Needle Aspiration Biopsy 517
Differential Diagnosis 517
Prognosis and Therapy 518
AMYLOIDOSIS 518
Radiologic Features 518
Gross Findings 519
Microscopic Findings 519
Immunohistochemistry and Mass Spectrometry 521
Ultrastructural Examination 521
Differential Diagnosis 521
Prognosis and Therapy 522
LIGHT CHAIN DEPOSITION DISEASE 522
Clinical Features 522
Radiologic Features 523
Gross Features 523
Microscopic Features 523
Differential Diagnosis 523
Prognosis and Therapy 524
PULMONARY HYALINIZING GRANULOMA 524
Clinical Features 524
Radiologic Features 524
Gross Findings 525
Microscopic Findings 525
Ultrastructural Examination 525
Immunohistochemistry 525
Differential Diagnosis 525
Prognosis and Therapy 525
MINUTE PULMONARY MENINGOTHELIAL-LIKE NODULES 526
Clinical Features 526
Radiologic Features 526
Gross Findings 526
Microscopic Findings 527
Ultrastructural Examination 527
Immunohistochemistry 527
Differential Diagnosis 527
Prognosis and Therapy 528
OSSIFICATION 528
METASTATIC CALCIFICATION 528
Clinical Features 530
Radiologic Features 530
Gross Findings 530
Microscopic Findings 530
Ultrastructural Examination 530
Biochemical Analysis 530
Differential Diagnosis 530
Prognosis and Therapy 530
PULMONARY ALVEOLAR MICROLITHIASIS 530
Clinical Features 531
Radiologic Features 531
Gross Findings 531
Microscopic Findings 531
Ultrastructural Examination 531
Fine-Needle Aspiration Biopsy 532
Biochemical Analysis 532
Differential Diagnosis 532
Prognosis and Therapy 532
Lipoid Pneumonia 532
Amyloidosis 533
Light Chain Deposition Disease 533
Pulmonary Hyalinizing Granuloma 533
Minute Meningothelial-Like Lesion 533
Dendriform Ossification 533
Nodular Ossification 533
Metastatic Calcification 533
Pulmonary Alveolar Microlithiasis 533
26 - Usual Lung Cancers 534
INTRODUCTION 534
ADENOCARCINOMA 534
Radiologic Features 535
Gross Findings 536
Microscopic Findings 536
Invasive Adenocarcinoma 537
Variants 538
MOLECULAR STUDIES AND PRECISION MEDICINE THERAPIES IN LUNG CANCER 538
IMMUNOHISTOCHEMISTRY 539
SQUAMOUS CELL CARCINOMA 542
Radiologic Features 542
Gross Findings 542
Microscopic Findings 543
Immunohistochemistry 543
Differential Diagnosis 543
ADENOSQUAMOUS CARCINOMA 544
Gross Findings 544
Differential Diagnosis 545
LARGE CELL CARCINOMA 545
Radiologic Features 546
Gross Findings 546
Microscopic Findings 546
Ancillary Studies 546
PLEOMORPHIC CARCINOMA 546
Radiologic Features 547
Gross Findings 547
Microscopic Findings 547
Ancillary Studies 549
PROGNOSIS AND TREATMENT OF LUNG CARCINOMAS 549
Adenocarcinoma 551
Squamous Cell Carcinoma 551
Large Cell Carcinoma 551
Pleomophic Carcinoma 551
27 - Neuroendocrine Neoplasms 552
INTRODUCTION 552
SMALL CELL LUNG CARCINOMA 552
Clinical Features 552
Radiologic Features 552
Gross Findings 552
Microscopic Findings 553
Variant 553
Combined Small Cell Lung Carcinoma 553
Ultrastructural Features 553
Immunohistochemistry 553
Cytology 555
Differential Diagnosis 555
Genetic Profile 556
Prognosis and Therapy 556
LARGE CELL NEUROENDOCRINE CARCINOMA 556
Clinical Features 556
Gross Findings 556
Microscopic Findings 557
Variant 557
Combined Large Cell Neuroendocrine Carcinoma 557
Cytology 557
Ultrastructural Features 557
Immunohistochemistry 558
Differential Diagnosis 558
Genetic Profile 560
Prognosis and Therapy 561
CARCINOID TUMORS 561
Clinical Features 561
Radiologic Features 561
Gross Findings 561
Microscopic Findings 562
Cytology 563
Ultrastructural Features 563
Immunohistochemistry 563
Genetic Profile 564
Differential Diagnosis 564
Prognosis and Therapy 564
Large Cell Neuroendocrine Carcinoma 565
Carcinoid Tumors 565
28 - Unusual Primary Malignant Lung Neoplasms 567
INTRODUCTION 567
SALIVARY GLANDLIKE TUMORS 567
MUCOEPIDERMOID CARCINOMA 567
Clinical Features 567
Radiologic Features 567
Gross Findings 567
Microscopic Findings 568
Immunohistochemistry 568
Genetic Characteristics 569
Differential Diagnosis 569
Prognosis and Therapy 570
ADENOID CYSTIC CARCINOMA 570
Clinical Features 570
Radiologic Features 570
Gross Findings 570
Microscopic Findings 570
Immunohistochemistry 571
Genetic Characteristics 571
Differential Diagnosis 571
Prognosis and Therapy 572
INFLAMMATORY MYOFIBROBLASTIC TUMOR 572
Clinical Features 572
Radiologic Features 572
Gross Features 572
Microscopic Features 572
Immunohistochemistry 572
Genetic Characteristics 574
Differential Diagnosis 574
Prognosis and Therapy 575
EPITHELIOID HEMANGIOENDOTHELIOMA 575
Clinical Features 575
Radiologic Features 575
Gross Findings 575
Microscopic Findings 575
Immunohistochemistry 575
Genetic Characteristics 575
Ultrastructural Features 575
Differential Diagnosis 575
Prognosis and Therapy 577
PULMONARY ARTERY INTIMAL SARCOMA 577
Radiologic Features 578
Gross Findings 578
Microscopic Findings 578
Immunohistochemistry 578
Genetic Characteristics 578
Differential Diagnosis 578
Prognosis and Therapy 579
SYNOVIAL SARCOMA 579
OTHER MESENCHYMAL NEOPLASMS 579
GERM CELL TUMORS 580
THYMOMA 580
MENINGIOMA 580
MELANOMA 581
Inflammatory Myofibroblastic Tumor 582
Epithelioid Hemangioendothelioma 582
Pulmonary Artery Intimal Sarcoma 582
Synovial Sarcoma 582
Other Mesenchymal Neoplasms 583
Germ Cell Tumors 583
Thymoma 583
Meningioma 583
Melanoma 583
29 - Pulmonary Involvement by Extrapulmonary Neoplasms 584
INTRODUCTION 584
PATHOGENESIS 584
METASTATIC CARCINOMA, SARCOMA, AND MELANOMA 585
Clinical Features 585
Radiologic Features 585
30 - Precursors of Malignancy 598
INTRODUCTION 598
SQUAMOUS DYSPLASIA/SQUAMOUS CELL CARCINOMA IN SITU 598
Clinical Features 598
Radiologic Features 600
Gross Findings 600
Microscopic Findings 600
Cytogenetic and Molecular Findings 603
Ancillary Studies 603
Differential Diagnosis 603
Prognosis and Therapy 604
ATYPICAL ADENOMATOUS HYPERPLASIA/ADENOCARCINOMA IN SITU 605
Clinical Features 606
Radiologic Features 607
Gross Findings 607
Microscopic Findings 607
Ancillary Studies 608
Differential Diagnosis 610
Prognosis And Therapy 612
DIFFUSE IDIOPATHIC PULMONARY NEUROENDOCRINE CELL HYPERPLASIA 612
Clinical Features 612
Radiologic Features 612
Gross Findings 612
Microscopic Findings 612
Ancillary Studies 613
Differential Diagnosis 614
Prognosis And Therapy 615
Squamous Dysplasia/Squamous Cell Carcinoma in Situ 615
Atypical Adenomatous Hyperplasia/Adenocarcinoma in Situ 616
Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia 616
31 - Benign Neoplasms of the Lungs 617
BENIGN MESENCHYMAL NEOPLASMS 617
HAMARTOMA 617
Radiologic Features 617
Gross Findings 617
Microscopic Findings 618
Cytogenetics 618
Fine-Needle Aspiration Biopsy 618
Differential Diagnosis 619
Prognosis And Therapy 620
BENIGN SALIVARY GLAND–TYPE NEOPLASMS 620
PNEUMOCYTIC ADENOMYOEPITHELIOMA 620
Clinical Features 620
Gross Findings 621
Microscopic Findings 621
Ancillary Studies 621
Differential Diagnosis 621
Prognosis and Therapy 621
PLEOMORPHIC ADENOMA 621
Gross Findings 623
Ancillary Studies 624
Differential Diagnosis 624
Prognosis and Therapy 624
MUCOUS GLAND ADENOMA 624
Gross Findings 624
Microscopic Findings 624
Immunohistochemistry 625
Differential Diagnosis 625
Prognosis And Therapy 625
MUCINOUS CYSTADENOMA 625
Gross Findings 625
Microscopic Findings 626
Immunohistochemistry 626
Differential Diagnosis 626
Prognosis and Therapy 627
ALVEOLAR ADENOMA 627
Radiologic Features 627
Gross Findings 627
Microscopic Findings 628
Immunohistochemistry 628
Differential Diagnosis 629
Prognosis and Therapy 629
PAPILLARY ADENOMA 629
Gross Findings 629
Microscopic Findings 629
Immunohistochemistry 629
Differential Diagnosis 630
Prognosis And Therapy 630
SOLITARY PAPILLOMAS 630
Radiologic Features 630
Gross Findings 630
Microscopic Findings 630
Differential Diagnosis 632
Prognosis and Therapy 632
SCLEROSING PNEUMOCYTOMA 633
Radiologic Features 633
Gross Findings 633
Microscopic Findings 633
Ultrastructural Features 635
Immunohistochemistry 635
Fine-Needle Aspiration Biopsy 635
Differential Diagnosis 635
Prognosis and Therapy 636
CLEAR CELL TUMOR 636
Gross Findings 637
Microscopic Findings 637
Ultrastructural Features 638
Immunohistochemistry 638
Differential Diagnosis 638
Prognosis and Therapy 638
GRANULAR CELL TUMOR 638
Radiologic Features 639
Gross Findings 639
Microscopic Findings 639
Ultrastructural Features 639
Immunohistochemistry 639
Fine-Needle Aspiration Biopsy 639
Differential Diagnosis 640
Prognosis and Therapy 640
Benign Salivary Gland Tumors 641
Mucinous Cystadenoma 641
Alveolar Adenoma 641
Papillary Adenoma 641
Solitary Papillomas 641
Sclerosing Pneumocytoma 641
Clear Cell Tumor 641
Granular Cell Tumor 641
32 - Primary Pleural Neoplasms 642
INTRODUCTION 642
MALIGNANT PLEURAL MESOTHELIOMA 642
Clinical Features 642
Radiologic Features 643
Gross Findings 643
Microscopic Findings 643
Cytology 644
Histochemistry 645
Immunohistochemistry 645
Ultrastructural Examination 647
Genetic Characteristics 647
Differential Diagnosis 647
Prognosis and Therapy 650
SOLITARY FIBROUS TUMOR 650
Clinical Features 650
Radiologic Features 651
Gross Findings 652
Microscopic Findings 652
Ancillary Studies 652
Differential Diagnosis 654
Prognosis and Therapy 654
SYNOVIAL SARCOMA AND OTHER PRIMARY PLEURAL SARCOMAS 654
Clinical Features 654
Radiologic Features 655
Gross Findings 655
Microscopic Findings 655
Immunohistochemistry 656
Ultrastructural Studies 656
Genetic Characteristics and Molecular Diagnostic Studies 656
Prognosis and Therapy 656
DESMOID TUMOR 658
Clinical Features 658
Radiologic Features 659
Gross Findings 659
Microscopic Findings 659
Immunohistochemistry 659
Genetic Characteristics 659
Differential Diagnosis 661
Prognosis and Therapy 661
PRIMITIVE NEUROECTODERMAL TUMOR AND DESMOPLASTIC SMALL ROUND CELL TUMOR 661
Clinical Features 661
Radiologic Features 662
Gross Findings 662
Microscopic Findings 662
Immunohistochemistry 662
Genetic Characteristics 664
Ultrastructural Studies 664
Differential Diagnosis 664
Prognosis and Therapy 664
NEOPLASMS METASTATIC TO THE PLEURA 664
Solitary Fibrous Tumor 665
Synovial Sarcomas and Other Primary Sarcomas 665
Desmoid Tumor 665
Primitive Neuroectodermal Tumor and Desmoplastic Small Round Cell Tumor 666
33 - Pleural Involvement by Extrapleural Neoplasms 667
INTRODUCTION 667
LUNG CARCINOMA INVOLVING THE PLEURA 667
Clinical Features 668
Radiologic Features 668
Gross Findings 668
Microscopic Findings 668
Pleural Effusion Cytology/Fine-Needle Aspiration Biopsy 671
Histochemistry and Immunohistochemistry 671
Ultrastructural Examination 672
Differential Diagnosis 672
Prognosis and Therapy 672
PLEURAL METASTASES FROM NONPULMONARY EPITHELIAL NEOPLASMS 672
Clinical Features 673
Gross Findings 673
Microscopic and Cytologic Findings 673
Histochemistry and Immunohistochemistry 673
Differential Diagnosis 677
Prognosis and Therapy 677
METASTATIC SARCOMAS TO THE PLEURA 677
HEMATOLOGIC MALIGNANCIES INVOLVING THE PLEURA 677
OTHER METASTATIC NEOPLASMS TO THE PLEURA 678
Pleural Metastases From Nonpulmonary Epithelial Neoplasms 678
Metastatic Sarcomas to the Pleura 679
Hematologic Malignancies Involving the Pleura 679
Other Metastatic Neoplasms of the Pleura 679
34 - Inflammatory and Fibrosing Pleural Processes 680
ORGANIZATION OF PLEURAL EFFUSION 680
Clinical Features 680
Pathologic Features 681
Differential Diagnosis 681
Prognosis and Therapy 681
ACUTE BACTERIAL PLEURITIS (EMPYEMA) 681
Clinical Features 682
Pathologic Features 682
Ancillary Studies 683
Differential Diagnosis 683
Prognosis and Therapy 683
EOSINOPHILIC PLEURITIS 683
Clinical Features 683
Pathologic Features 683
Differential Diagnosis 684
Prognosis and Therapy 684
TUBERCULOUS PLEURITIS 684
Clinical Features 684
Pathologic Features 684
Ancillary Studies 685
Differential Diagnosis 685
Prognosis and Therapy 685
RHEUMATOID PLEURITIS 685
Clinical Features 685
Pathologic Features 685
35 - Pulmonary Manifestations of Systemic Diseases 692
INTRODUCTION 692
CONNECTIVE TISSUE DISEASES 692
GENERAL CONSIDERATIONS 692
RHEUMATOID ARTHRITIS 693
SYSTEMIC LUPUS ERYTHEMATOSUS 695
SYSTEMIC SCLEROSIS 698
SJÖGREN SYNDROME 699
POLYMYOSITIS AND DERMATOMYOSITIS 700
MIXED CONNECTIVE TISSUE DISEASE 701
ANKYLOSING SPONDYLITIS 701
RELAPSING POLYCHONDRITIS 701
INTERSTITIAL PNEUMONIA WITH AUTOIMMUNE FEATURES 701
PRIMARY BILIARY CIRRHOSIS AND OTHER LIVER DISEASES 702
IGG4-RELATED DISEASE 702
PRIMARY IMMUNODEFICIENCY DISORDERS 702
INFLAMMATORY BOWEL DISEASE 704
TUBEROUS SCLEROSIS COMPLEX 705
BIRT-HOGG-DUBE SYNDROME 705
SICKLE CELL DISEASE 707
FAMILIAL DYSAUTONOMIA 707
INHERITED CONNECTIVE TISSUE DISORDERS 708
MARFAN SYNDROME 708
EHLERS-DANLOS SYNDROME 708
STORAGE DISEASES 708
NIEMANN-PICK DISEASE 709
GAUCHER DISEASE 709
FABRY DISEASE 709
HERMANSKY-PUDLAK SYNDROME 709
CRYSTAL-STORING HISTIOCYTOSIS 710
Connective Tissue Diseases 710
Crystal-Storing Histiocytosis 711
Familial Dysautonomia 711
IgG4-Related Disease 711
Inflammatory Bowel Disease 711
Inherited Connective Tissue Disorders (Marfan Syndrome and Ehlers-Danlos Syndrome) 711
Interstitial Pneumonia With Autoimmune Features 711
Primary Biliary Cirrhosis and Other Liver Diseases 712
Primary Immunodeficiency Disorders 712
Sickle Cell Disease 712
Storage Diseases 712
Tuberous Sclerosis Complex 712
36 - Respiratory Cytology 713
TECHNIQUES AND APPLICATIONS 713
NORMAL ELEMENTS AND NONCELLULAR COMPONENTS 715
NONNEOPLASTIC LUNG DISEASES 718
INTERSTITIAL LUNG DISEASES 718
SARCOIDLIKE REACTION 718
PULMONARY ALVEOLAR PROTEINOSIS 718
INFECTIONS 720
VIRAL INFECTIONS 720
FUNGAL INFECTIONS 721
CANDIDIASIS 721
ASPERGILLOSIS 721
CRYPTOCOCCOSIS 722
PNEUMOCYSTIS JIROVECII 722
DIMORPHIC FUNGI 723
PARASITIC INFECTIONS 725
BENIGN MASSES AND TUMORS 725
PULMONARY HAMARTOMA 725
AMYLOID TUMOR 726
INFLAMMATORY MYOFIBROBLASTIC TUMOR 726
MALIGNANT TUMORS 727
SQUAMOUS CELL CARCINOMA 727
ADENOCARCINOMA 727
SMALL CELL CARCINOMA 729
CARCINOID TUMOR 729
PULMONARY SARCOMA 732
PULMONARY LYMPHOMA 734
TUMORS METASTATIC TO THE LUNG 734
Interstitial Lung Diseases 736
Infections 736
Benign Pulmonary Masses 736
Malignant Lung Neoplasms 736
INDEX 737
A 737
B 739
C 740
D 742
E 743
F 744
G 745
H 745
I 746
K 747
L 747
M 749
N 750
O 751
P 751
Q 755
R 755
S 756
T 757
U 758
V 758
W 758
Y 759
Z 759
IBC ES2