重症间质性肺疾病诊治策略10-30.pptVIP

Probability of Histologic Diagnosis of Diffuse Diseases UIP is histologically identified by surgical lung biopsy (SLB). SLB is recommended if IPF is suspected, and particularly in cases with atypical clinical or radiologic features. Transbronchial biopsy (TBBx) has limited value in making a definitive diagnosis of UIP. TBBx is most useful in identifying diseases that affect the central structures within the lung lobule, such as granulomatous diseases, malignant tumors, DAD, and the rest of the diseases listed as 1?6 in the table. It is sometimes useful if the diagnostic lesion is encompasse