CHEST 2023 On Demand Pass-Lung Pathology: Show and Tell

Video Transcription

Video Summary

The patient in this case study is a 49-year-old woman with increasing diffuse small nodules in her lungs. She had a dry cough and worsening shortness of breath, but no other significant symptoms. She underwent various tests, including CT scans and pulmonary function tests, which showed evidence of air trapping and small airway disease. A robotic bronchoscopy was performed, and biopsies were taken from the nodules and the bronchoalveolar lavage fluid. The biopsy results showed hyperplastic neuroendocrine cells, which suggested a diagnosis of diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNEC) . DIPNEC is a premalignant condition characterized by the proliferation of neuroendocrine cells in the lungs. It is usually associated with symptoms such as shortness of breath and cough. In this case, the patient's symptoms were well-controlled with the use of a steroid inhaler. It is important to note that the biopsy method used in this case, robotic bronchoscopy, is a less invasive option compared to surgical lung biopsy. The diagnosis was made by integrating the patient's symptoms, imaging results, pulmonary function tests, and pathology findings. The patient is currently being followed up by a thoracic oncology team.

Meta Tag

Category Lung Pathology

Session ID 4016

Speaker Jose De Arrigunaga

Speaker Kimia Ganjaei

Speaker Kam Sing Ho

Speaker Ibrahim Khatim

Speaker Sharad Oli

Speaker Lyndsey Turbow

Track Lung Pathology

Keywords

patient

diffuse small nodules

shortness of breath

CT scans

biopsies

DIPNEC

steroid inhaler

diagnosis