肺样本的手术内冷部位诊断:一个更新的审查
1Department of Pathology, Shanghai Chest Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Seminars in diagnostic pathology
|April 6, 2025
概括
在手术期间的冷部位 (FS) 诊断指导肺病变切除. 挑战包括整合临床数据,成像和病理学,特别是新的肺癌分类.
科学领域:
- 肺部病理学 肺部病理学
- 手术瘤学手术瘤学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 术内冷部位 (FS) 诊断对于指导肺病变切除至关重要.
- 有效整合临床,成像和组织病理学数据是必不可少的.
- 肺癌查和分类的不断发展带来了新的诊断挑战.
研究的目的:
- 讨论肺结节的术前评估和术后诊断方面的挑战.
- 为了突出精确FS诊断的关键考虑因素.
- 审查区分良性和恶性肺病变的策略.
主要方法:
- 对临床信息和CT成像发现的全面审查.
- 针对多重肺结节的战略采样技术.
- 组织病理学评估侧重于生长模式和细胞异型.
主要成果:
- 准确的FS诊断需要整合各种数据,包括成像特征和生长模式.
- 区分前侵袭性,微侵袭性和侵袭性瘤可能是一个挑战.
- 考虑通过空气空间 (STAS),边缘和各种瘤/非瘤实体的传播至关重要.
结论:
- 肺病变的手术内冷部位诊断需要一个多学科的方法.
- 适应新的肺癌实体和分类对于准确的手术内评估至关重要.
- 仔细评估组织学和成像特征有助于区分良性和恶性疾病.
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