دورية أكاديمية

[Common issues and solutions in intraoperative frozen pathological diagnosis of small pulmonary nodules].

التفاصيل البيبلوغرافية
العنوان: [Common issues and solutions in intraoperative frozen pathological diagnosis of small pulmonary nodules].
المؤلفون: Zhu L; Department of Pathology, Shanghai Chest Hospital, Shanghai Jiaotong University Medical School, Shanghai 200030, China., Han YC; Department of Pathology, Shanghai Chest Hospital, Shanghai Jiaotong University Medical School, Shanghai 200030, China.
المصدر: Zhonghua bing li xue za zhi = Chinese journal of pathology [Zhonghua Bing Li Xue Za Zhi] 2024 Aug 08; Vol. 53 (8), pp. 777-782.
نوع المنشور: English Abstract; Journal Article
اللغة: Chinese
بيانات الدورية: Publisher: Zhonghua Yixuehui Country of Publication: China NLM ID: 0005331 Publication Model: Print Cited Medium: Print ISSN: 0529-5807 (Print) Linking ISSN: 05295807 NLM ISO Abbreviation: Zhonghua Bing Li Xue Za Zhi Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Beijing : Zhonghua Yixuehui
مواضيع طبية MeSH: Lung Neoplasms*/pathology , Lung Neoplasms*/diagnosis , Lung Neoplasms*/diagnostic imaging , Lung Neoplasms*/surgery , Frozen Sections* , Adenocarcinoma*/pathology , Adenocarcinoma*/diagnosis , Adenocarcinoma*/surgery, Humans ; Diagnosis, Differential ; Solitary Pulmonary Nodule/pathology ; Solitary Pulmonary Nodule/diagnostic imaging ; Solitary Pulmonary Nodule/diagnosis ; Multiple Pulmonary Nodules/pathology ; Multiple Pulmonary Nodules/diagnostic imaging ; Multiple Pulmonary Nodules/surgery ; Multiple Pulmonary Nodules/diagnosis ; Adenocarcinoma in Situ/pathology ; Adenocarcinoma in Situ/diagnosis ; Adenocarcinoma in Situ/surgery ; Intraoperative Period
مستخلص: With the development of chest CT screening, surgically resected lung tumors have shifted from predominantly large masses to predominantly small nodules. The intraoperative frozen diagnosis of pulmonary small nodules faces many challenges, such as the accurate understanding about the concepts of adenocarcinoma in situ, minimally invasive adenocarcinoma and lepidic adenocarcinoma, as well as their differential diagnosis with small size invasive adenocarcinoma, benign tumors (such as bronchiolar adenoma, sclerosing pneumocytoma, etc.), metastatic tumors and so on. This study summarizes some common problems encountered in the intraoperative frozen diagnosis of small pulmonary nodules in daily practice, focusing on the diagnosis and differential diagnosis of adenocarcinoma, in order to make the accurate intraoperative frozen diagnosis of small pulmonary nodules and diminish misdiagnosis.
فهرسة مساهمة: Local Abstract: [Publisher, Chinese] 随着胸部CT筛查的广泛开展,可手术的肺部肿瘤从以往的以大肿块为主转变为目前的以小结节为主。肺部小结节术中冷冻切片病理诊断面临诸多挑战,比如对原位腺癌、微浸润性腺癌、贴壁生长型腺癌等概念的准确掌握,以及它们与小的浸润性腺癌、良性肿瘤(如细支气管腺瘤、硬化性肺细胞瘤等)、转移性肿瘤的鉴别诊断等。本文对目前临床实践中肺部小结节的术中冷冻切片病理诊断遇到的一些常见问题加以总结,重点围绕腺癌的诊断和鉴别诊断,以更好地完成肺部小结节的术中冷冻切片病理诊断,减少误诊。.
تواريخ الأحداث: Date Created: 20240805 Date Completed: 20240805 Latest Revision: 20240805
رمز التحديث: 20240806
DOI: 10.3760/cma.j.cn112151-20231218-00421
PMID: 39103257
قاعدة البيانات: MEDLINE
الوصف
تدمد:0529-5807
DOI:10.3760/cma.j.cn112151-20231218-00421