Subtype
organizing fibrinous pleuritis
Differential diagnosis
Mimics of sarcomatoid desmoplastic mesothelioma
organizing pleuritis
fibrosis of endothoracic fascia
pleural desmoid fibromatosis
Home > E. Pathology by systems > Respiratory system > Pleura
Pleura
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organizing pleuritis
5 January 2015 -
pleural desmoid fibromatosis
5 January 2015Desmoid tumors of the pleura
Desmoid tumors of the pleura are also in the differential diagnosis of desmoplastic mesothelioma. In this lesion, the proliferating cells are myofibroblasts rather than mesothelial cells, and the proliferating cells are distinguished by their morphology and by their expression of smooth muscle actin. -
pleural scar
5 January 2015A pleural scar can show extension into subpleural fat and skeletal muscle. A lymphoid follicle can be seen in the pleural scar.
See also
pleural lesions -
pleural desmoplastic mesothelioma
5 January 2015A subset of sarcomatoid mesotheliomas, desmoplastic mesothelioma, typically produces a dense and bland collagenous matrix that can be exceedingly difficult to distinguish from active pleural fibroplasias.
Synopsis
desmoplasia
bland basket-weave fibrosis.
The entrapped spindle cells show plump nuclei and prominent nucleoli.
Possible invasion of the soft tissues of the chest wall.
Differential diagnosis
Desmoplastic sarcomatoid mesothelial growth may represent the primary or (...) -
pleural atypical mesothelial hyperplasia
5 January 2015DIfferential diagnosis
An indeterminate biopsy showing severely atypical mesothelial hyperplasia, in the background of occupational exposure to asbestos, clinical, radiographic, or gross findings compatible with MM, should prompt the surgical pathologist to phrase the final diagnosis as “atypical mesothelial hyperplasia without diagnostic features of malignancy, however, mesothelioma cannot be excluded with confidence.” This leads the clinician to consider what, if any, diagnostic tests must (...) -
asbestos-associated lesions of the pleura
5 January 2015Asbestos-related lesions of the pleura
Types
neoplastic asbestos-associated lesions of the pleura asbestos-associated malignant mesothelioma asbestos-associated metastatic pulmonary carcinoma asbestos-associatedepithelioid hemangioendothelioma
benign asbestos-related lesions of the pleura hyaline pleural plaques diffuse pleural fibrosis pulmonary rounded atelectasis
See also
asbestos (...) -
asbestos-associated fibrinous pleural effusion
5 January 2015asbestos-related fibrinous pleural effusion
A history of occupational exposure to asbestos broadens the differential diagnosis to include localized benign hyaline plaques, diffuse pleural fibrosis, and asbestos-associated fibrinous pleural effusions. All of these processes can at times mimic mesothelioma. -
diffuse pleural fibrosis
5 January 2015A history of occupational exposure to asbestos broadens the differential diagnosis to include localized benign hyaline plaques, diffuse pleural fibrosis, and asbestos-associated fibrinous pleural effusions. All of these processes can at times mimic mesothelioma.
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serous non-inflammatory effusion
5 January 2015serous non-inflammatory effusions
Differential diagnosis
Disorders that are generally caused by serous non-inflammatory effusions, including long-standing congestive heart failure, cirrhosis, kidney, and hypothyroidism can also cause difficulties in differential diagnosis with serous neoplasia. -
fibrinous pleuritis
5 January 2015fibrinous pleural inflammation
Types
acute fibrinous pleuritis
organizing fibrinous pleuritis
Synopsis
presence of fibrin
mesothelial hyperplasia
increased numbers of eosinophils
dystrophic calcifications
See also
pleuritis acute pleuritis