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Year 2015, Volume: 28 Issue: 1, 50 - 53, 02.07.2015

Baran Balcan , Şehnaz Olgun Seda Sağmen Berrin Bağcı Ceyhan

https://doi.org/10.5472/MMJ.2015.04029.2

Abstract

Cryptogenic organizing pneumonia (COP) was first described by Davison and colleagues in 1983. Previously, it was called bronchiolitis obliterans organizing pneumonia (BOOB). The following are known causes of COP: toxic gas inhalation, chemotherapy, radiation therapy, aspiration, blood transfusion, upper respiratory tract infections, or it can be idiopathic. The clinical features of the patients resemble those of pneumonia or upper respiratory tract infection. In COP, imaging scans of the lungs reveal diffuse migrating patchy infiltrations which are in contact with the pleura. Corticosteroids are the first choice for treatment, but in some patients other immunosuppressive drugs are needed. Low doses may result in relapses. Transbronchial biopsy has a low yield in the diagnosis, instead tru-cut biopsy is the first choice for a definitive diagnosis. In this paper, we define our experience with two patients from whom we obtained a tru-cut lung biopsy in order to reach for a diagnosis

Keywords

Cryptogenic organising pneumonia Tru-cut biopsy

References

  • 1. Davison AG, Heard BE, McAllister WA, Turner-Warwick MEH. Cryptogenic organizing pneumonitis. Q J Med 1983;52:382-94.
  • 2. Poletti V, Cazzato S, Minicuci N, Zompatori M, Burzi M, Schiattone M L. The diagnostic value of bronchoalveolar lavage and transbronchial lung biopsy in cryptogenic organizing pneumonia. Eur Respir J 1996;9:2513-6.
  • 3. Epler GR, Colby TV, McLoud TC, Carrington C B, Gaensler E A. Bronchiolitis obliterans organizing pneumonia. N Eng J Med 1985;312:152-8.
  • 4. Laurent F, Latrabe V, Vergier B, Michel P. Percutaneous CTguided biopsy of the lung: Comparison between aspiration and automated cutting needles using a coaxial technique. Cardiovasc Intervent Radiol 2000;23:266-72.
  • 5. Wells AU. Cryptogenic organizing pneumonia. Semin Respir Crit Care Med 2001;22:449-60. doi: 10.1055/s-2001-17387
  • 6. Wright JL, Cagle P, Churg A, Colby, T. V. Myers J. Diseases of the small airways. Am Rev Respir Dis 1992;146:240-62. doi: 10.1164/ajrccm/146.1.240
  • 7. Beigelman-Aubry C, Touitou D, Stivalet A, et al. CT imaging features of bronchiolitis. J Radiol 2009;90:1830-40.
  • 8. Muller NL, Coiby TV. Idiopathic interstitial pneumonias: High-resolution CT and histologic findings. RadioGraphics 1997;17:1016-22. doi: 10.1148/radiographics.17.4.9225401
  • 9. Kıter G,Yuncu G, Bir F. cryptogenic organizing pneumonia: Two cases and an update. Turkish Toracic Journal 2008;91:43-8.
  • 10. Cordier JF. Update on cryptogenic organising pneumonia (idiopathic bronchiolitis obliterans organising pneumonia). Swiss Med Wkly 2002;132:588-91.
  • 11. Stover DE, Mangino D. Macrolides: A treatment alternative for bronchiolitis obliterans organizing pneumonia? Chest 2005;128:3611-7. doi: 10.1378/chest.128.5.3611
  • 12. Epler GR. Bronchiolitis obliterans organizing pneumonia: Definition and clinical features. Chest 1992;102:2s-6s.
  • 13. Cordier JF. Cryptogenic organizing pneumonitis. Bronchiolitis obliterans organizing pneumonia. Clin Chest Med 1993;14:677-92.
  • 14. Tombesi P, Nielsen I, Tassinari D, Trevisani L, Abbasciano V, Sartori S. Transthoracic ultrasonography-guided core needle biopsy of pleural-based lung lesions: Prospective randomized comparison between a tru-cut-type needle and a modified Menghini-type needle. Ultraschall Med 2009;30:390-5. doi: 10.1055/s-0028-1109442
  • 15. Tuna T, Ozkaya S, Dirican A Findik S, Atici AG, Erkan L. Diagnostic efficacy of computed tomography-guided transthoracic needle aspiration and biopsy in patients with pulmonary disease. Onco Targets Ther 2013;6:1553-7. doi: 10.2147/OTT.S45013
  • 16. Manhire A, Charig M, Clelland C,et al. Guidelines for radiologically guided lung biopsy. Thorax 2003;58:920-36.

Kriptojenik organize pnömoni tanısında tru-cut biyopsi

Year 2015, Volume: 28 Issue: 1, 50 - 53, 02.07.2015

Baran Balcan , Şehnaz Olgun Seda Sağmen Berrin Bağcı Ceyhan

https://doi.org/10.5472/MMJ.2015.04029.2

Abstract

Kriptojenik organize pnömoni (KOP) ilk kez 1983 yılında Davison ve ark. tarafından tanımlanmasından önce yakın geçmişe kadar bronşiolitis obliterans organize pnömoni (BOOP) ismiyle literatürde kullanılmıştır. Etyolojisinde viral enfeksiyon, aspirasyon pnömonisi, toksik gaz inhalasyonu, transfüzyon ve radyoterapi yer almaktadır, ancak idiopatik olarak da geliştiği bilinmektedir. Hastalar klinik olarak üst solunum yolu enfeksiyonuna veya pnömoniye benzer bir tabloyla başvurabilir, ancak akciğer görüntülemesinde yaygın yama tarzında plevraya oturan konsolide sahaların yer değiştirmesi daha spesifiktir. Tedavisinde kortikosteroidler birinci basamak tedavidir ve genelde bu tedaviye iyi yanıt alınmaktadır, ancak bazen yeterli olmaz ve diğer immunosuppressif ilaçlara ihtiyaç olur, bunun yanında steroid dozu azaltıldığında relapslar görülebilir. Transbronşiyal biyopsi ile tanı konulabilmesi olasılığı düşüktür. Günümüzde kesin KOP tanısını koyabilmede en ideal yöntem görüntüleme eşliğinde yapılan tru-cut biyopsidir. Biz bu yazımızda, kesin tanı koymak için tru-cut akciğer biyopsisi uyguladığımız iki hastamızı literatür eşliğinde tartıştık.

Keywords

Kriptojenik organize pnömoni tru-cut biyopsi

References

  • 1. Davison AG, Heard BE, McAllister WA, Turner-Warwick MEH. Cryptogenic organizing pneumonitis. Q J Med 1983;52:382-94.
  • 2. Poletti V, Cazzato S, Minicuci N, Zompatori M, Burzi M, Schiattone M L. The diagnostic value of bronchoalveolar lavage and transbronchial lung biopsy in cryptogenic organizing pneumonia. Eur Respir J 1996;9:2513-6.
  • 3. Epler GR, Colby TV, McLoud TC, Carrington C B, Gaensler E A. Bronchiolitis obliterans organizing pneumonia. N Eng J Med 1985;312:152-8.
  • 4. Laurent F, Latrabe V, Vergier B, Michel P. Percutaneous CTguided biopsy of the lung: Comparison between aspiration and automated cutting needles using a coaxial technique. Cardiovasc Intervent Radiol 2000;23:266-72.
  • 5. Wells AU. Cryptogenic organizing pneumonia. Semin Respir Crit Care Med 2001;22:449-60. doi: 10.1055/s-2001-17387
  • 6. Wright JL, Cagle P, Churg A, Colby, T. V. Myers J. Diseases of the small airways. Am Rev Respir Dis 1992;146:240-62. doi: 10.1164/ajrccm/146.1.240
  • 7. Beigelman-Aubry C, Touitou D, Stivalet A, et al. CT imaging features of bronchiolitis. J Radiol 2009;90:1830-40.
  • 8. Muller NL, Coiby TV. Idiopathic interstitial pneumonias: High-resolution CT and histologic findings. RadioGraphics 1997;17:1016-22. doi: 10.1148/radiographics.17.4.9225401
  • 9. Kıter G,Yuncu G, Bir F. cryptogenic organizing pneumonia: Two cases and an update. Turkish Toracic Journal 2008;91:43-8.
  • 10. Cordier JF. Update on cryptogenic organising pneumonia (idiopathic bronchiolitis obliterans organising pneumonia). Swiss Med Wkly 2002;132:588-91.
  • 11. Stover DE, Mangino D. Macrolides: A treatment alternative for bronchiolitis obliterans organizing pneumonia? Chest 2005;128:3611-7. doi: 10.1378/chest.128.5.3611
  • 12. Epler GR. Bronchiolitis obliterans organizing pneumonia: Definition and clinical features. Chest 1992;102:2s-6s.
  • 13. Cordier JF. Cryptogenic organizing pneumonitis. Bronchiolitis obliterans organizing pneumonia. Clin Chest Med 1993;14:677-92.
  • 14. Tombesi P, Nielsen I, Tassinari D, Trevisani L, Abbasciano V, Sartori S. Transthoracic ultrasonography-guided core needle biopsy of pleural-based lung lesions: Prospective randomized comparison between a tru-cut-type needle and a modified Menghini-type needle. Ultraschall Med 2009;30:390-5. doi: 10.1055/s-0028-1109442
  • 15. Tuna T, Ozkaya S, Dirican A Findik S, Atici AG, Erkan L. Diagnostic efficacy of computed tomography-guided transthoracic needle aspiration and biopsy in patients with pulmonary disease. Onco Targets Ther 2013;6:1553-7. doi: 10.2147/OTT.S45013
  • 16. Manhire A, Charig M, Clelland C,et al. Guidelines for radiologically guided lung biopsy. Thorax 2003;58:920-36.
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Baran Balcan

Şehnaz Olgun This is me

Seda Sağmen This is me

Berrin Bağcı Ceyhan This is me

Publication Date July 2, 2015
Published in Issue Year 2015 Volume: 28 Issue: 1

Cite

APA Balcan, B., Olgun, Ş., Sağmen, S., Bağcı Ceyhan, B. (2015). Kriptojenik organize pnömoni tanısında tru-cut biyopsi. Marmara Medical Journal, 28(1), 50-53. https://doi.org/10.5472/MMJ.2015.04029.2
AMA Balcan B, Olgun Ş, Sağmen S, Bağcı Ceyhan B. Kriptojenik organize pnömoni tanısında tru-cut biyopsi. Marmara Med J. August 2015;28(1):50-53. doi:10.5472/MMJ.2015.04029.2
Chicago Balcan, Baran, Şehnaz Olgun, Seda Sağmen, and Berrin Bağcı Ceyhan. “Kriptojenik Organize pnömoni tanısında Tru-Cut Biyopsi”. Marmara Medical Journal 28, no. 1 (August 2015): 50-53. https://doi.org/10.5472/MMJ.2015.04029.2.
EndNote Balcan B, Olgun Ş, Sağmen S, Bağcı Ceyhan B (August 1, 2015) Kriptojenik organize pnömoni tanısında tru-cut biyopsi. Marmara Medical Journal 28 1 50–53.
IEEE B. Balcan, Ş. Olgun, S. Sağmen, and B. Bağcı Ceyhan, “Kriptojenik organize pnömoni tanısında tru-cut biyopsi”, Marmara Med J, vol. 28, no. 1, pp. 50–53, 2015, doi: 10.5472/MMJ.2015.04029.2.
ISNAD Balcan, Baran et al. “Kriptojenik Organize pnömoni tanısında Tru-Cut Biyopsi”. Marmara Medical Journal 28/1 (August 2015), 50-53. https://doi.org/10.5472/MMJ.2015.04029.2.
JAMA Balcan B, Olgun Ş, Sağmen S, Bağcı Ceyhan B. Kriptojenik organize pnömoni tanısında tru-cut biyopsi. Marmara Med J. 2015;28:50–53.
MLA Balcan, Baran et al. “Kriptojenik Organize pnömoni tanısında Tru-Cut Biyopsi”. Marmara Medical Journal, vol. 28, no. 1, 2015, pp. 50-53, doi:10.5472/MMJ.2015.04029.2.
Vancouver Balcan B, Olgun Ş, Sağmen S, Bağcı Ceyhan B. Kriptojenik organize pnömoni tanısında tru-cut biyopsi. Marmara Med J. 2015;28(1):50-3.