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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Combined pulmonary fibrosis and emphysema (CPFE)
Definitions
Idiopathic pulmonary fibrosis (IPF)/usual interstitial pneumonia (UIP) pattern on background of emphysema
Other chronic fibrosing interstitial lung disease (ILD) on background of emphysema
Distinct but heterogeneous clinical entity, most often affects current or former heavy smokers
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Diagnosis
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Reporting Tips
Selected References
Hage R et al: Combined pulmonary fibrosis and emphysema (CPFE) clinical features and management. Int J Chron Obstruct Pulmon Dis. 16:167-77, 2021
Bolaki M et al: Combined pulmonary fibrosis and emphysema. Semin Respir Crit Care Med. 41(2):177-83, 2020
Amariei DE et al: Combined pulmonary fibrosis and emphysema: pulmonary function testing and a pathophysiology perspective. Medicina (Kaunas). 55(9), 2019
Sousa C et al: Diffuse smoking-related lung diseases: insights from a radiologic-pathologic correlation. Insights Imaging. 10(1):73, 2019
Hashimoto N et al: Impact of thin-section computed tomography-determined combined pulmonary fibrosis and emphysema on outcomes among patients with resected lung cancer. Ann Thorac Surg. 102(2):440-7, 2016
Lin H et al: Combined pulmonary fibrosis and emphysema (CPFE): an entity different from emphysema or pulmonary fibrosis alone. J Thorac Dis. 7(4):767-79, 2015
Choi SH et al: The value of CT for disease detection and prognosis determination in combined pulmonary fibrosis and emphysema (CPFE). PLoS One. 9(9):e107476, 2014
Jankowich MD et al: Combined pulmonary fibrosis and emphysema syndrome: a review. Chest. 141(1):222-31, 2012
Sakai F et al: Imaging diagnosis of interstitial pneumonia with emphysema (combined pulmonary fibrosis and emphysema). Pulm Med. 2012:816541, 2012
Wright JL et al: Fibrosis with emphysema. Histopathology. 58(4):517-24, 2011
Attili AK et al: Smoking-related interstitial lung disease: radiologic-clinical-pathologic correlation. Radiographics. 28(5):1383-96; discussion 1396-8, 2008
Rao RN et al: Smoking-related interstitial lung disease. Ann Diagn Pathol. 12(6):445-57, 2008
Wells AU et al: Challenges in pulmonary fibrosis. 4: smoking-induced diffuse interstitial lung diseases. Thorax. 62(10):904-10, 2007
Hidalgo A et al: Smoking-related interstitial lung diseases: radiologic-pathologic correlation. Eur Radiol. 16(11):2463-70, 2006
Remy-Jardin M et al: Lung parenchymal changes secondary to cigarette smoking: pathologic-CT correlations. Radiology. 186(3):643-51, 1993
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Combined pulmonary fibrosis and emphysema (CPFE)
Definitions
Idiopathic pulmonary fibrosis (IPF)/usual interstitial pneumonia (UIP) pattern on background of emphysema
Other chronic fibrosing interstitial lung disease (ILD) on background of emphysema
Distinct but heterogeneous clinical entity, most often affects current or former heavy smokers
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Diagnosis
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Reporting Tips
Selected References
Hage R et al: Combined pulmonary fibrosis and emphysema (CPFE) clinical features and management. Int J Chron Obstruct Pulmon Dis. 16:167-77, 2021
Bolaki M et al: Combined pulmonary fibrosis and emphysema. Semin Respir Crit Care Med. 41(2):177-83, 2020
Amariei DE et al: Combined pulmonary fibrosis and emphysema: pulmonary function testing and a pathophysiology perspective. Medicina (Kaunas). 55(9), 2019
Sousa C et al: Diffuse smoking-related lung diseases: insights from a radiologic-pathologic correlation. Insights Imaging. 10(1):73, 2019
Hashimoto N et al: Impact of thin-section computed tomography-determined combined pulmonary fibrosis and emphysema on outcomes among patients with resected lung cancer. Ann Thorac Surg. 102(2):440-7, 2016
Lin H et al: Combined pulmonary fibrosis and emphysema (CPFE): an entity different from emphysema or pulmonary fibrosis alone. J Thorac Dis. 7(4):767-79, 2015
Choi SH et al: The value of CT for disease detection and prognosis determination in combined pulmonary fibrosis and emphysema (CPFE). PLoS One. 9(9):e107476, 2014
Jankowich MD et al: Combined pulmonary fibrosis and emphysema syndrome: a review. Chest. 141(1):222-31, 2012
Sakai F et al: Imaging diagnosis of interstitial pneumonia with emphysema (combined pulmonary fibrosis and emphysema). Pulm Med. 2012:816541, 2012
Wright JL et al: Fibrosis with emphysema. Histopathology. 58(4):517-24, 2011