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Does transbronchial lung cryobiopsy give useful information in asthmatic patients?
INTRODUCTION: Lung biopsy in asthmatic patients is justified in case of atypical presentations of asthma, when other differential diagnoses, such as hypersensitivity pneumonitis or eosinophilic granulomatosis with polyangiitis, could be possible or for research purposes. AIM: We aim to describe the...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452509/ https://www.ncbi.nlm.nih.gov/pubmed/30997044 http://dx.doi.org/10.1186/s40248-019-0176-5 |
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author | Colella, Sara Ravaglia, Claudia Massaccesi, Chiara D’Emilio, Vittorio Panella, Gianluca Fioretti, Federica Conte, Emanuele Giovanni Collina, Guido Pela, Riccardo Poletti, Venerino |
author_facet | Colella, Sara Ravaglia, Claudia Massaccesi, Chiara D’Emilio, Vittorio Panella, Gianluca Fioretti, Federica Conte, Emanuele Giovanni Collina, Guido Pela, Riccardo Poletti, Venerino |
author_sort | Colella, Sara |
collection | PubMed |
description | INTRODUCTION: Lung biopsy in asthmatic patients is justified in case of atypical presentations of asthma, when other differential diagnoses, such as hypersensitivity pneumonitis or eosinophilic granulomatosis with polyangiitis, could be possible or for research purposes. AIM: We aim to describe the utility and the safety of TBLC (transbronchial lung cryobiopsy) in asthmatic patients, providing data on the pathological changes occurring in the airways and in the lung parenchyma. METHODS: We reviewed asthmatic patients that underwent TBLC, that eventually had only a final diagnosis of asthma. RESULTS: Three patients were detected. TBLC described pathological abnormalities in peribronchiolar and alveolar spaces already well identified with SLB (surgical lung biopsy); the pathological information provided could be useful to better understand the pathobiology of the disease. Finally, we had no complications, confirming a satisfactory safety profile of TBLC. CONCLUSION: We suggest the potential role of TBLC in asthmatic patients: its safety and its acceptable diagnostic accuracy lead to consider this procedure instead of SLB when histological changes in lung parenchyma are needed for the differential diagnosis. Furthermore, TLBC could be useful for research in the pathobiology of asthma and severe asthma. |
format | Online Article Text |
id | pubmed-6452509 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64525092019-04-17 Does transbronchial lung cryobiopsy give useful information in asthmatic patients? Colella, Sara Ravaglia, Claudia Massaccesi, Chiara D’Emilio, Vittorio Panella, Gianluca Fioretti, Federica Conte, Emanuele Giovanni Collina, Guido Pela, Riccardo Poletti, Venerino Multidiscip Respir Med Original Research Article INTRODUCTION: Lung biopsy in asthmatic patients is justified in case of atypical presentations of asthma, when other differential diagnoses, such as hypersensitivity pneumonitis or eosinophilic granulomatosis with polyangiitis, could be possible or for research purposes. AIM: We aim to describe the utility and the safety of TBLC (transbronchial lung cryobiopsy) in asthmatic patients, providing data on the pathological changes occurring in the airways and in the lung parenchyma. METHODS: We reviewed asthmatic patients that underwent TBLC, that eventually had only a final diagnosis of asthma. RESULTS: Three patients were detected. TBLC described pathological abnormalities in peribronchiolar and alveolar spaces already well identified with SLB (surgical lung biopsy); the pathological information provided could be useful to better understand the pathobiology of the disease. Finally, we had no complications, confirming a satisfactory safety profile of TBLC. CONCLUSION: We suggest the potential role of TBLC in asthmatic patients: its safety and its acceptable diagnostic accuracy lead to consider this procedure instead of SLB when histological changes in lung parenchyma are needed for the differential diagnosis. Furthermore, TLBC could be useful for research in the pathobiology of asthma and severe asthma. BioMed Central 2019-04-08 /pmc/articles/PMC6452509/ /pubmed/30997044 http://dx.doi.org/10.1186/s40248-019-0176-5 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Research Article Colella, Sara Ravaglia, Claudia Massaccesi, Chiara D’Emilio, Vittorio Panella, Gianluca Fioretti, Federica Conte, Emanuele Giovanni Collina, Guido Pela, Riccardo Poletti, Venerino Does transbronchial lung cryobiopsy give useful information in asthmatic patients? |
title | Does transbronchial lung cryobiopsy give useful information in asthmatic patients? |
title_full | Does transbronchial lung cryobiopsy give useful information in asthmatic patients? |
title_fullStr | Does transbronchial lung cryobiopsy give useful information in asthmatic patients? |
title_full_unstemmed | Does transbronchial lung cryobiopsy give useful information in asthmatic patients? |
title_short | Does transbronchial lung cryobiopsy give useful information in asthmatic patients? |
title_sort | does transbronchial lung cryobiopsy give useful information in asthmatic patients? |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452509/ https://www.ncbi.nlm.nih.gov/pubmed/30997044 http://dx.doi.org/10.1186/s40248-019-0176-5 |
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