Cicatricial organising pneumonia associated with fibrosing interstitial pneumonia - a clinicopathological study.


Journal

Histopathology
ISSN: 1365-2559
Titre abrégé: Histopathology
Pays: England
ID NLM: 7704136

Informations de publication

Date de publication:
Jan 2022
Historique:
revised: 16 05 2021
received: 28 09 2020
accepted: 07 06 2021
pubmed: 9 6 2021
medline: 1 4 2022
entrez: 8 6 2021
Statut: ppublish

Résumé

The recent recognition of cicatricial organising pneumonia (ciOP) indicates that the ciOP may resemble or simulate fibrotic interstitial pneumonia; however, there has been great uncertainty regarding the affected populations, pathogenesis, clinical relevance and characteristics. In this study, we compared the characteristics of fibrotic interstitial pneumonia with and without ciOP. We enrolled 121 patients from the consultation archive whose pathological findings were fibrotic interstitial pneumonia and for whom follow-up clinical data were available. We reviewed these cases histopathologically and classified them according to whether or not they showed ciOP. We compared the clinicopathological features between the two groups. CiOP, histopathologically characterised by deposition of dense collagenous fibres within the alveolar space without destruction of the lung structure, was found in 48 patients (39.7%). None of the cases with ciOP experienced acute exacerbation during 12 months' follow-up. The group with ciOP had more severe diffusion impairment but this, together with restrictive ventilatory impairment, improved significantly compared to the group without ciOP. CiOP is a histopathological finding commonly found in fibrotic interstitial pneumonia. It does not relate to acute exacerbation or decrease in pulmonary function.

Identifiants

pubmed: 34101227
doi: 10.1111/his.14427
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

279-290

Subventions

Organisme : Ministry of Health, Labour and Welfare

Informations de copyright

© 2021 John Wiley & Sons Ltd.

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Auteurs

Yoshiaki Zaizen (Y)

Department of Pathology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Division of Respirology, Neurology and Rheumatology, Department of Medicine, Kurume University School of Medicine, Fukuoka, Japan.

Kazuhiro Tabata (K)

Department of Pathology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Yasuhiko Yamano (Y)

Department of Respiratory Medicine and Allergy, Tosei General Hospital, Aichi, Japan.

Reoto Takei (R)

Department of Respiratory Medicine and Allergy, Tosei General Hospital, Aichi, Japan.

Kensuke Kataoka (K)

Department of Respiratory Medicine and Allergy, Tosei General Hospital, Aichi, Japan.

Akira Shiraki (A)

Department of Respiratory Medicine, Ogaki Municipal Hospital, Gifu, Japan.

Koichi Nishimura (K)

Department of Respiratory Medicine, National Center for Geriatrics and Gerontology, Aichi, Japan.

Kazuto Furuyama (K)

Division of Internal Medicine, Saiseikai Fukuoka General Hospital, Fukuoka, Japan.

Andrey Bychkov (A)

Department of Pathology, Kameda Medical Center, Chiba, Japan.

Tomoaki Hoshino (T)

Division of Respirology, Neurology and Rheumatology, Department of Medicine, Kurume University School of Medicine, Fukuoka, Japan.

Takeshi Johkoh (T)

Department of Radiology, Kansai Rosai Hospital, Hyogo, Japan.

Yasuhiro Kondoh (Y)

Department of Respiratory Medicine and Allergy, Tosei General Hospital, Aichi, Japan.

Junya Fukuoka (J)

Department of Pathology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Department of Pathology, Kameda Medical Center, Chiba, Japan.

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