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Ann Thorac Surg 2005;79:2172-2179
© 2005 The Society of Thoracic Surgeons


Review

Role of Thoracic Surgeons in the Diagnosis of Idiopathic Interstitial Lung Disease

Michael E. Halkos, MDa, Anthony A. Gal, MDb, Faraz Kerendi, MDa, Daniel L. Miller, MDa, Joseph I. Miller, Jr, MDa,*

a Section of General Thoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
b Department of Laboratory Medicine and Anatomic Pathology, Emory University School of Medicine, Atlanta, Georgia, USA

* Address reprint requests to Dr Miller, Division of Cardiothoracic Surgery, Emory Crawford Long Hospital, Medical Office Tower, 6th Floor, 550 Peachtree St, Atlanta, GA 30308 (E-mail: jmille6331{at}aol.com).

The interstitial lung disorders are a heterogenous group of pulmonary disorders in which the interstitium is the predominant tissue type involved in the disease process. The idiopathic interstitial pneumonias represent a subgroup of these disorders that can be distinguished by unique clinical, radiologic, and pathologic features. Recent changes have been made in the classification system, with important distinctions between idiopathic pulmonary fibrosis and the other idiopathic interstitial pneumonias. Surgical lung biopsy remains the gold standard for diagnosis. However, controversy exists regarding the methods and indications for biopsy. In this article, we review the salient clinical, radiologic, and pathologic features of these unique disorders as well as the updated classification scheme. We also discuss the current methods, approaches, and indications for biopsy.




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