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Difference between revisions of "Fibrosing pleuritis"
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'''Fibrosing pleuritis''' is an uncommon benign condition that mimics [[malignant mesothelioma]]. | |||
It is also known as '''cryptogenic bilateral fibrosing pleuritis''' and '''fibrous pleurisy'''. | |||
==General== | |||
*Benign. | |||
*No asbestos exposure.<ref name=pmid3166932>{{Cite journal | last1 = Buchanan | first1 = DR. | last2 = Johnston | first2 = ID. | last3 = Kerr | first3 = IH. | last4 = Hetzel | first4 = MR. | last5 = Corrin | first5 = B. | last6 = Turner-Warwick | first6 = M. | title = Cryptogenic bilateral fibrosing pleuritis. | journal = Br J Dis Chest | volume = 82 | issue = 2 | pages = 186-93 | month = Apr | year = 1988 | doi = | PMID = 3166932 }}</ref> | |||
Clinical:<ref name=pmid3166932/> | |||
*Pleural thickening on imaging. | |||
*[[Pleural effusion]]. | |||
==Gross== | |||
*Pleural thickening associated with a pleural effusion. | |||
==Microscopic== | |||
Features:<ref name=ultrapathorg>URL: [http://www.ultrapath.org/oldsite/uscap/uscap05/meso1.html http://www.ultrapath.org/oldsite/uscap/uscap05/meso1.html]. Accessed on: 20 February 2012.</ref> | |||
*Fibrosis. | |||
**Spindle cells. | |||
**Moderate cellularity. | |||
*No [[necrosis]]. | |||
*Inflammation - lymphocytes.<ref name=pmid3166932/> | |||
DDx:<ref name=pmid15559051>{{Cite journal | last1 = Corson | first1 = JM. | title = Pathology of mesothelioma. | journal = Thorac Surg Clin | volume = 14 | issue = 4 | pages = 447-60 | month = Nov | year = 2004 | doi = 10.1016/j.thorsurg.2004.06.007 | PMID = 15559051 }}</ref> | |||
*[[Mesothelioma]], desmoplastic. | |||
**Mesothelioma should '''not''' be diagnosed on core biopsy.<ref name=ultrapathorg>URL: [http://www.ultrapath.org/oldsite/uscap/uscap05/meso1.html http://www.ultrapath.org/oldsite/uscap/uscap05/meso1.html]. Accessed on: 20 February 2012.</ref> | |||
==See also== | |||
*[[Medical lung diseases]]. | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Diagnosis]] | [[Category:Diagnosis]] | ||
[[Category:Medical lung diseases]] | |||