Difference between revisions of "Pleural plaque"
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'''Pleural plaques''' are strongly associated with asbestos exposure.<ref name=pmid22617814>{{Cite journal | last1 = Myers | first1 = R. | title = Asbestos-related pleural disease. | journal = Curr Opin Pulm Med | volume = 18 | issue = 4 | pages = 377-81 | month = Jul | year = 2012 | doi = 10.1097/MCP.0b013e328354acfe | PMID = 22617814 }}</ref> | |||
==General== | |||
*May be due to other causes.<ref name=pmid17867573>{{Cite journal | last1 = Clarke | first1 = CC. | last2 = Mowat | first2 = FS. | last3 = Kelsh | first3 = MA. | last4 = Roberts | first4 = MA. | title = Pleural plaques: a review of diagnostic issues and possible nonasbestos factors. | journal = Arch Environ Occup Health | volume = 61 | issue = 4 | pages = 183-92 | month = | year = | doi = 10.3200/AEOH.61.4.183-192 | PMID = 17867573 }}</ref> | |||
Other asbestos-related pleural disease:<ref name=pmid22617814/> | |||
*Diffuse pleural thickening. | |||
*Benign asbestos-related pleural effusions (BAPEs). | |||
*[[Malignant mesothelioma]]. | |||
==Gross== | |||
*Thickened (or calcified) plaques.<ref name=pmid17867573/> | |||
*White. | |||
DDx: | |||
*[[Metastatic]] carcinoma. | |||
===Images=== | |||
<gallery> | |||
Image:Asbestosis_-_Fibrous_pleural_plaque_(7468458430).jpg | Fibrous pleural plaque. (WC/Rosen) | |||
</gallery> | |||
*[http://library.med.utah.edu/WebPath/LUNGHTML/LUNG083.html Pleural plaque (utah.edu)]. | |||
==Microscopic== | |||
Features:<ref name=pmid5556121/> | |||
*Hyaline material +/- [[calcification]]. | |||
Notes: | |||
*Usually associated with asbestosis fibres in the [[lung]] (85% of cases).<ref name=pmid5556121>{{Cite journal | last1 = Roberts | first1 = GH. | title = The pathology of parietal pleural plaques. | journal = J Clin Pathol | volume = 24 | issue = 4 | pages = 348-53 | month = May | year = 1971 | doi = | PMID = 5556121 }}</ref> | |||
**Plaque burden seems to be associated with the number asbestos bodies found; many plaques... suggest many asbestosis bodies. | |||
DDx: | |||
*[[Fibrosing pleuritis]]. | |||
*[[Desmoplastic mesothelioma]]. | |||
===Images=== | |||
*[http://library.med.utah.edu/WebPath/LUNGHTML/LUNG102.html Pleural plaque (utah.edu)]. | |||
==See also== | |||
*[[Asbestosis]] - lung has fibrosis. | |||
*[[Malignant mesothelioma]]. | |||
*[[Ferruginous bodies]]. | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Diagnosis]] | |||
[[Category:Pulmonary pathology]] | |||
Revision as of 00:53, 14 June 2016
Pleural plaques are strongly associated with asbestos exposure.[1]
General
- May be due to other causes.[2]
Other asbestos-related pleural disease:[1]
- Diffuse pleural thickening.
- Benign asbestos-related pleural effusions (BAPEs).
- Malignant mesothelioma.
Gross
- Thickened (or calcified) plaques.[2]
- White.
DDx:
- Metastatic carcinoma.
Images
Fibrous pleural plaque. (WC/Rosen)
.jpg)
Microscopic
Features:[3]
- Hyaline material +/- calcification.
Notes:
- Usually associated with asbestosis fibres in the lung (85% of cases).[3]
- Plaque burden seems to be associated with the number asbestos bodies found; many plaques... suggest many asbestosis bodies.
DDx:
Images
See also
- Asbestosis - lung has fibrosis.
- Malignant mesothelioma.
- Ferruginous bodies.
References
- ↑ 1.0 1.1 Myers, R. (Jul 2012). "Asbestos-related pleural disease.". Curr Opin Pulm Med 18 (4): 377-81. doi:10.1097/MCP.0b013e328354acfe. PMID 22617814.
- ↑ 2.0 2.1 Clarke, CC.; Mowat, FS.; Kelsh, MA.; Roberts, MA.. "Pleural plaques: a review of diagnostic issues and possible nonasbestos factors.". Arch Environ Occup Health 61 (4): 183-92. doi:10.3200/AEOH.61.4.183-192. PMID 17867573.
- ↑ 3.0 3.1 Roberts, GH. (May 1971). "The pathology of parietal pleural plaques.". J Clin Pathol 24 (4): 348-53. PMID 5556121.