| Autor: |
Tassi GF; Division of Pneumology Valle Camonica Hospital Esine (Brescia) 25040 Italy., Marchetti GP, Fattibene F, Chiodera PL |
| Jazyk: |
angličtina |
| Zdroj: |
Diagnostic and therapeutic endoscopy [Diagn Ther Endosc] 1997; Vol. 3 (3), pp. 147-51. |
| DOI: |
10.1155/DTE.3.147 |
| Abstrakt: |
On the basis of our personal experience in 70 cases (66 pleural effusions) observed during the period January 1984- January 1996 we are here illustrating and discussing the diagnostic role of thoracoscopy in malignant pleural mesothelioma.A histological diagnosis was achieved in 94.2% of cases. The endoscopic appearance was clearly neoplastic (masses, nodules) in 53 patients (75.7%) and simply inflammatory in 17 pachypleuritis in 13 (18.6%) and of diffuse hyperemia in 3 (5.7%). In all cases fluid cytology (diagnostic yield: 18.5%) and needle biopsy (diagnostic yield 17.1%) were performed.The extension of pleural involvement (endoscopic staging according to Boutin) was also determined. In 16 patients (22.8%) a parietal and diaphragmatic involvement (stage Ia) was found. In 40 patients (57.2%) an associated visceral invasion (stage Ib). In 14 cases (20%) a diffuse parietal, visceral and mediastinal extension (stage II). The exam has always been well tolerated with few immediate complications: subcutaneous emphysema (4 cases) and some negligeable parietal bleeding (2 cases). |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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