Koss Michael N
Department of Pathology, Keck School of Medicine, University of Southern California, Hoffman Medical Research Building Room 209, 2011 Zonal Avenue, Los Angeles, CA 90033, USA.
Ann Diagn Pathol. 2004 Jun;8(3):167-87. doi: 10.1016/j.anndiagpath.2004.03.010.
Lymphoid lesions of the lung produce a complex of problems for the practicing pathologist. Although these lesions are eventually referred to hematopathologists, it is still the general surgical pathologist who first encounters them and confronts the problem of formulating an initial diagnosis. Over the last 20 years there has been a revolution in our knowledge of the classification and natural history of the pulmonary lesions, a plethora of information which warrants a thorough review. The purpose of this discussion is to report the clinical features and courses, pathologic features and, when known, etiologies or pathogenesis of the major "primary" pulmonary lymphoid lesions and present a brief approach to differential diagnosis. I will divide the lesions into malignant and benign, discussing each in turn.
肺部淋巴样病变给执业病理学家带来了一系列复杂的问题。尽管这些病变最终会交由血液病理学家处理,但首先遇到它们并面临初步诊断问题的仍是普通外科病理学家。在过去20年里,我们对肺部病变的分类和自然史的认识发生了变革,大量信息值得进行全面回顾。本次讨论的目的是报告主要“原发性”肺部淋巴样病变的临床特征与病程、病理特征以及已知的病因或发病机制,并简要介绍鉴别诊断方法。我将把这些病变分为恶性和良性两类,依次进行讨论。