DILEMMA OF UNDIAGNOSED PLEURAL EFFUSION UNRAVELED THROUGH THORACOSCOPY: A SINGLE CENTRE EXPERIENCE FROM NORTH INDIA.

Autor: Bashir, Shumail, Mehvish, Syed, Guru, Faisal R., Shah, Naveed Nazir, Guru, Haider, Bashir, Jibran, Dar, Khurshid Ahmad
Předmět:
Zdroj: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2022, Vol. 13 Issue 7, p682-689, 8p
Abstrakt: Background: Recurrent and persistent pleural exudates are common in clinical practice, and in a large number of patients, thoracocentesis and blind pleural biopsy procedures do not provide a definitive diagnosis. In the Western world, the majority of these exudates are malignant. Thoracoscopy today remains the gold standard technique in providing diagnosis and management in these cases. Objectives: Diagnostic yield of medical thoracoscopy was evaluated in cases of undiagnosed pleural effusion. Materials and methods: Rigid medical thoracoscopy was performed in 40 patients having undiagnosed pleural effusion at the Chest Disease Hospital, Srinagar, J&K India. Results: Medical thoracoscopy gave a definitive diagnosis in 38 out of 40 patients with diagnostic yield 95%. Malignancy was diagnosed in 28 patients (70%), one patient was diagnosed as empyema (2.5%), tuberculosis was found in 9 patients (22.5%), and it was non diagnostic in 2 patients (5%). The post-thoracoscopic complications in the studied group have occurred only in 4 patients (10%). Conclusion: Medical thoracoscopy is a valuable tool in the diagnosis of undiagnosed exudative pleural effusion. It is a simple and safe method with high diagnostic yield and with low complication. [ABSTRACT FROM AUTHOR]
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