写在“间质性肺疾病冷冻肺活检标本病理诊断中国专家共识”发表之际  

Comment on“Chinese expert consensus on the pathological diagnosis of interstitial lung disease with transbronchial lung cryobiopsy specimens”

作　　者：冯瑞娥[1] Feng Ruie(Department of Pathology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院病理科,北京100730

出　　处：《中华结核和呼吸杂志》2024年第8期701-703,共3页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：间质性肺疾病的经支气管冷冻肺活检(TBLC)已应用于临床。TBLC标本明显小于外科肺活检,使得病理医生诊断信心不足。本刊本期发表了“间质性肺疾病冷冻肺活检标本病理诊断中国专家共识”。该共识涉及TBLC的送检、质量评价、人为假象、病理诊断原则等相关问题,特别是关于TBLC大小相对性、高质量TBLC标本评价,以及TBLC标本有可能仅显示病变的有限病理组织学性质,难以判断分布及进一步病理分型等,做好间质性肺疾病TBLC诊断需要病理及临床医师共同关注及协作。As one of the pathological biopsy methods,the transbronchial lung cryobiopsy(TBLC)for interstitial lung disease has been widely used in clinical practice.While TBLC causes less trauma or complications for patients than surgical lung biopsy(SLB),pathologists are sometimes less confident in making diagnosis due to the smaller specimen size of TBLC.In an effort to alleviate the problem,this issue of the journal published"Chinese expert consensus on the pathological diagnosis of interstitial lung disease with transbronchial lung cryobiopsy specimens".The consensus addressed issues related to TBLC delivery,quality evaluation,artificial phenomena,and pathological diagnostic principles.More importantly,physicians and pathologists need to work together to improve the diagnosis of TBLC.

关 键 词：间质性肺疾病 诊断需要 病理医生 临床医师 病理诊断 肺活检 病理组织学 TBL 

分 类 号：R563[医药卫生—呼吸系统]