Difference between revisions of "Atypical adenomatous hyperplasia of the lung"

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{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Atypical_adenomatous_hyperplasia_--_high_mag.jpg
| Width      =
| Caption    = [[Micrograph]] showing atypical adenomatous hyperplasia. [[H&E stain]].
| Synonyms  = atypical alveolar hyperplasia
| Micro      = enlarged alveolar lining cells with [[hobnail morphology]], round or oval hyperchromatic nuclei; spaces are typically seen between the alveolar lining cells '''important'''; limited extent (must be <5 mm); +/-nuclear enlargement (mild-to-moderate), +/-multinucleation 
| Subtypes  =
| LMDDx      = [[adenocarcinoma in situ]] of lung, [[lung adenocarcinoma]], [[multifocal micronodular pneumocyte hyperplasia associated with tuberous sclerosis]]
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      =
| Grossing  =
| Staging    =
| Site      = [[lung]]
| Assdx      =
| Syndromes  =
| Clinicalhx =
| Signs      =
| Symptoms  =
| Prevalence = relatively common
| Bloodwork  =
| Rads      = ground glass opacity (persistent)
| Endoscopy  =
| Prognosis  = benign, need to exclude [[lung adenocarcinoma]]
| Other      =
| ClinDDx    = [[pneumonia]] (chronic), [[lung tumours]]
| Tx        = surgical excision
}}
'''Atypical alveolar hyperplasia of the lung''', also '''atypical adenomatous hyperplasia''' (abbreviated '''AAH''') and '''atypical alveolar hyperplasia''', is considered the precursor of [[lung adenocarcinoma]]. It is typically found beside lung adenocarcinoma in resection specimens.<ref name=pmid21252716>{{Cite journal  | last1 = Travis | first1 = WD. | last2 = Brambilla | first2 = E. | last3 = Noguchi | first3 = M. | last4 = Nicholson | first4 = AG. | last5 = Geisinger | first5 = KR. | last6 = Yatabe | first6 = Y. | last7 = Beer | first7 = DG. | last8 = Powell | first8 = CA. | last9 = Riely | first9 = GJ. | title = International association for the study of lung cancer/american thoracic society/european respiratory society international multidisciplinary classification of lung adenocarcinoma. | journal = J Thorac Oncol | volume = 6 | issue = 2 | pages = 244-85 | month = Feb | year = 2011 | doi = 10.1097/JTO.0b013e318206a221 | PMID = 21252716 }}</ref>
'''Atypical alveolar hyperplasia of the lung''', also '''atypical adenomatous hyperplasia''' (abbreviated '''AAH''') and '''atypical alveolar hyperplasia''', is considered the precursor of [[lung adenocarcinoma]]. It is typically found beside lung adenocarcinoma in resection specimens.<ref name=pmid21252716>{{Cite journal  | last1 = Travis | first1 = WD. | last2 = Brambilla | first2 = E. | last3 = Noguchi | first3 = M. | last4 = Nicholson | first4 = AG. | last5 = Geisinger | first5 = KR. | last6 = Yatabe | first6 = Y. | last7 = Beer | first7 = DG. | last8 = Powell | first8 = CA. | last9 = Riely | first9 = GJ. | title = International association for the study of lung cancer/american thoracic society/european respiratory society international multidisciplinary classification of lung adenocarcinoma. | journal = J Thorac Oncol | volume = 6 | issue = 2 | pages = 244-85 | month = Feb | year = 2011 | doi = 10.1097/JTO.0b013e318206a221 | PMID = 21252716 }}</ref>


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===Images===
===Images===
<gallery>
Image: Atypical adenomatous hyperplasia -- low mag.jpg | AAH - low mag. (WC)
Image: Atypical adenomatous hyperplasia -- intermed mag.jpg | AAH - intermed. mag. (WC)
Image: Atypical adenomatous hyperplasia - alt -- high mag.jpg | AAH - high mag. (WC)
Image: Atypical adenomatous hyperplasia -- very high mag.jpg | AAH - very high mag. (WC)
</gallery>
====www====
*[http://www.nature.com/modpathol/journal/v20/n9/fig_tab/3800929f1.html#figure-title AAH (nature.com)].<ref name=pmid17618248/>
*[http://www.nature.com/modpathol/journal/v20/n9/fig_tab/3800929f1.html#figure-title AAH (nature.com)].<ref name=pmid17618248/>
*[http://www.jthoracdis.com/article/viewFile/1518/html/9359 AAH (jthoracdis.com)].<ref>{{Cite journal  | last1 = Davidson | first1 = MR. | last2 = Gazdar | first2 = AF. | last3 = Clarke | first3 = BE. | title = The pivotal role of pathology in the management of lung cancer. | journal = J Thorac Dis | volume = 5 | issue = Suppl 5 | pages = S463-S478 | month = Oct | year = 2013 | doi = 10.3978/j.issn.2072-1439.2013.08.43 | PMID = 24163740 }}</ref>
*[http://www.jthoracdis.com/article/viewFile/1518/html/9359 AAH (jthoracdis.com)].<ref>{{Cite journal  | last1 = Davidson | first1 = MR. | last2 = Gazdar | first2 = AF. | last3 = Clarke | first3 = BE. | title = The pivotal role of pathology in the management of lung cancer. | journal = J Thorac Dis | volume = 5 | issue = Suppl 5 | pages = S463-S478 | month = Oct | year = 2013 | doi = 10.3978/j.issn.2072-1439.2013.08.43 | PMID = 24163740 }}</ref>
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