[Pulmonary biopsy in interstitial pneumopathies].
1119 pulmonary biopsies (two thirds open) have been performed in 108 patients with signs of diffuse interstitial disease of the lung. The results showed 29 cases of fibrosing alveolitis, 4 of granulomatous alveolitis, 8 of diffuse interstitial fibrosis, 12 of eosinophilic granuloma, 12 of pneumoconiosis, 16 of sarcoidosis, and 38 with other pulmonary lesions. Biopsy via thoracotomy is the best diagnostic technique, with a 97.4% yield; with transparietal biopsies the yield is 81% and with transbronchial biopsies 60%. Histology permits exact diagnosis in all pneumopathies except fibrosing alveolitis. In this case the pathologist guides the clinician's investigations towards a search for an allergic etiology.
D000542:Alveolitis, Extrinsic Allergic / Q000473:pathology; D001706:Biopsy; D003937:Diagnosis, Differential; D004803:Eosinophilic Granuloma / Q000473:pathology; D006646:Histiocytosis, Langerhans-Cell / Q000473:pathology; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000473:pathology; D011009:Pneumoconiosis / Q000473:pathology; D011650:Pulmonary Alveoli / Q000473:pathology; D011658:Pulmonary Fibrosis / Q000473:pathology*; D012507:Sarcoidosis / Q000473:pathology
La biopsie pulmonaire dans les pneumopathies interstitielles.