Échoendoscopie bronchique pour le diagnostic de mésothéliome pleural malin
| Autor: | Stéphanie Martinez, Sophie Laroumagne, E. Kaspi, Philippe Astoul, Julien Guinde, R. Tazi-Mezalek, Hervé Dutau |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.diagnostic_test business.industry Pleural effusion Ultrasound Gold standard (test) Mediastinal Pleura respiratory system medicine.disease respiratory tract diseases Exudative pleural effusion Bronchoscopy medicine Thoracoscopy Radiology Mesothelioma business |
| Zdroj: | Revue des Maladies Respiratoires. 32:750-754 |
| ISSN: | 0761-8425 |
| DOI: | 10.1016/j.rmr.2014.12.009 |
| Popis: | The diagnosis of malignant pleural mesothelioma relies mostly on the pathological examination of pleural samples, validated by a panel of experts and generally obtained during medical or surgical thoracoscopy performed for the management of an exudative pleural effusion. In the absence of pleural effusion (dry-type mesothelioma), the diagnostic approach depends on the features of the lesions (pleural thickness, nodules and/or masses) and their pleural location. Ultrasound and CT-guided needle aspiration represent recognized alternative diagnostic techniques in these situations. We present the case of a patient, presenting a dry-type mesothelioma, whose diagnosis was obtained by endobronchial ultrasound (EBUS)-guided needle aspiration of a pleural mediastinal mass and confirmed by a CT-guided needle aspiration of another pleural mass in close contact with the chest wall. The samples have been compared and show quantitative and qualitative similarities. EBUS represents a minimally invasive alternative diagnostic technique for dry-type mesothelioma, showing thickness of the mediastinal pleura in contact with a central airway or when thoracoscopy, which remains the "gold standard" diagnostic approach, is not feasible. |
| Databáze: | OpenAIRE |
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