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肺浆细胞疾病:组织病理学、诊断及临床展望

Pulmonary plasma cell disorders: histopathology, diagnosis, and clinical perspectives.

作者信息

Pezzuto Federica, Fiorentù Giordano, Castelli Gioele, Zanella Simone, Giraudo Chiara, Tinè Marianerica, Calabrese Fiorella

机构信息

Department of cardiac, thoracic, vascular sciences and public health, University of Padova, Padua, 35121, Italy.

出版信息

Virchows Arch. 2025 Aug 23. doi: 10.1007/s00428-025-04213-3.

Abstract

Plasma cell disorders in the lungs include a broad range of conditions from benign reactive processes to malignant neoplasms. This article provides a comprehensive analysis of these diseases, focusing on their histopathological, immunohistochemical, and diagnostic characteristics. Four case studies illustrate the diagnostic challenges in distinguishing between reactive plasma cell infiltrates and neoplastic conditions. Key diagnostic tools, such as histological analysis and molecular techniques, are discussed to guide clinical evaluation. A systematic approach to diagnosis and management is mandatory for treatment decisions. Understanding the full spectrum of plasma cell abnormalities in the lung enables clinicians and pathologists to achieve accurate diagnoses and improve patient outcomes.

摘要

肺部的浆细胞疾病包括从良性反应性过程到恶性肿瘤的广泛病症。本文对这些疾病进行了全面分析,重点关注其组织病理学、免疫组织化学和诊断特征。四个病例研究说明了区分反应性浆细胞浸润和肿瘤性疾病时的诊断挑战。讨论了关键诊断工具,如组织学分析和分子技术,以指导临床评估。对于治疗决策而言,必须采用系统的诊断和管理方法。了解肺部浆细胞异常的全貌可使临床医生和病理学家实现准确诊断并改善患者预后。

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