van Maarsseveen T C, Stam J, Calame J J
Department of Pathology, Academic Hospital, Free University, Amsterdam, The Netherlands.
Respiration. 1990;57(1):57-61. doi: 10.1159/000195820.
We report the results of a bronchoalveolar lavage (BAL) in a patient suspected of interstitial lung disease and/or malignancy. The recovered cells from the lavage were characteristic of a high intensity alveolitis as seen in sarcoidosis. However, some adenocarcinoma cells were also found. The significance of these findings could be (a) that some immune response against this pulmonary malignancy may exist, and (b) that BAL can be used as a valuable tool to characterize the alveolitis of sarcoidosis, but carefully cytologic examination of BAL cells should be performed to exclude other causes of interstitial lung disease with an associated lymphocytic alveolitis.
我们报告了一名疑似间质性肺病和/或恶性肿瘤患者的支气管肺泡灌洗（BAL）结果。灌洗回收的细胞具有结节病中所见的高强度肺泡炎特征。然而，也发现了一些腺癌细胞。这些发现的意义可能在于：（a）可能存在针对这种肺部恶性肿瘤的某种免疫反应；（b）BAL可用作表征结节病肺泡炎的有价值工具，但应仔细对BAL细胞进行细胞学检查，以排除伴有淋巴细胞性肺泡炎的间质性肺病的其他病因。
