Medical thoracoscopic versus ultrasound guided transthoracic pleural needle biopsy in diagnosis of pleural lesions
| Autor: | Gehan H. AboEl-Magd, Ali M. Abdella, Khaled Dewan, Dina A. Elgohary |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Medical thoracoscopy Pleural effusion Parapneumonic effusion 03 medical and health sciences 0302 clinical medicine Ultrasound guided biopsy medicine Thoracoscopy 030212 general & internal medicine Mesothelioma lcsh:RC705-779 medicine.diagnostic_test business.industry lcsh:Diseases of the respiratory system respiratory system medicine.disease Surgery respiratory tract diseases 030228 respiratory system Effusion Pneumothorax Ultrasound-Guided Biopsy Adenocarcinoma Radiology business |
| Zdroj: | Egyptian Journal of Chest Disease and Tuberculosis, Vol 65, Iss 1, Pp 179-185 (2016) |
| ISSN: | 0422-7638 |
| DOI: | 10.1016/j.ejcdt.2015.12.005 |
| Popis: | Background Medical thoracoscopy increases the diagnostic yield in patients with undiagnosed pleural effusion. Ultrasound guided pleural biopsies are safe procedures with high diagnostic yields. Objective To compare safety and efficacy of medical thoracoscopic versus ultrasound guided transthoracic needle biopsy in the diagnosis of pleural lesions. Patients and methods 40 patients with undiagnosed pleural lesions were divided into 2 groups. After clinical, radiological examination and laboratory investigations; pleural biopsies were taken by ultrasound guided needle biopsy and medical thoracoscopy in group I and II respectively. Results Complications in group I were in the form of pain in 2 patients (10%), hemoptysis in 1 (5%), while complications in group II were pain in 4 (20%), failure of the lung to expand in 5 (25%), pneumothorax in 5 (25%) and wound infection in 3 patients (15%). Final histopathological diagnosis in group I was parapneumonic effusion in 3 patients (15%), inflammatory lung lesion in 1 (5%), pleural fibroma in 2 (10%), malignant mesothelioma in 4 (20%), sarcoma in 1 (5%), adenocarcinoma in 1 (5%), squamous cell carcinoma in 4 (20%), and metastatic adenocarcinoma in 1 (5%). Final histopathological diagnosis in group II was pleural TB in 4 patients (20%), inflammatory lung lesions in 2 (10%), malignant mesothelioma in 6 (30%), adenocarcinoma in 5 (25%), and metastatic adenocarcinoma in 2 (10%). The diagnosed cases were 17 (85%) and 19 (95%) in groups I and II respectively. Conclusions Medical thoracoscopy is an important diagnostic method for the diagnosis of undiagnosed pleural effusion while it is concluded that US guided pleural biopsy is more useful in cases of pleural lesions without effusion. |
| Databáze: | OpenAIRE |
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