Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia

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Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia, abbreviated DIPNECH, is an uncommon lung pathology that is considered pre-neoplastic by the WHO.[1]

General

  • Rare.

Clinical:[2]

  • Typical patient in 60s.
  • Cough.

Treatment:

  • Somatostatin analogs[2] - improves cough.

Gross

  • Multiple small pulmonary nodules.[1]

DDx:

Microscopic

See typical lung carcinoid tumour

See also

References

  1. 1.0 1.1 Wirtschafter, E.; Walts, AE.; Liu, ST.; Marchevsky, AM. (Jun 2015). "Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia of the Lung (DIPNECH): Current Best Evidence.". Lung. doi:10.1007/s00408-015-9755-1. PMID 26104490.
  2. 2.0 2.1 Chauhan, A.; Ramirez, RA. (Jun 2015). "Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia (DIPNECH) and the Role of Somatostatin analogs: A Case Series.". Lung. doi:10.1007/s00408-015-9754-2. PMID 26112453.