scholarly journals Visceral pleural biopsy under medical thoracoscopy for the diagnosis of lung adenocarcinoma

2020 ◽  
Vol 8 (6) ◽  
Author(s):  
Satoshi Terashita ◽  
Keiichiro Suminaga ◽  
Hiroaki Kawachi ◽  
Susumu Noguchi ◽  
Tatsuyoshi Ikeue ◽  
...  
Keyword(s):  
Lung Adenocarcinoma ◽  
Pleural Biopsy ◽  
Medical Thoracoscopy

scholarly journals ALK positivity on pleuroscopic pleural biopsy in lung adenocarcinoma

2016 ◽  
Vol 12 (2) ◽  
pp. 1090
Author(s):  
PrashantN Chhajed ◽  
PreyasJ Vaidya ◽  
ArvindH Kate ◽  
Deval Mehta ◽  
BomanN Dhabar
Keyword(s):  
Lung Adenocarcinoma ◽  
Pleural Biopsy

Role of Medical Thoracoscopy and Closed-Blind Pleural Biopsy in Undiagnosed Exudative Pleural Effusions

2015 ◽  
Vol 22 (2) ◽  
pp. 121-129 ◽  
Author(s):  
Venkata N. Maturu ◽  
Sahajal Dhooria ◽  
Amanjit Bal ◽  
Navneet Singh ◽  
Ashutosh N. Aggarwal ◽  
...  
Keyword(s):  
Pleural Effusions ◽  
Pleural Biopsy ◽  
Medical Thoracoscopy

scholarly journals Medical thoracoscopy versus image-guided pleural biopsy for diagnosing pleural diseases

2018 ◽  
Vol 67 (2) ◽  
pp. 79
Author(s):  
Rasha Daabis ◽  
Emad Ibrahim ◽  
Alaa Abdallah ◽  
Amr Abdelkerim ◽  
MervatA Ismail
Keyword(s):  
Pleural Biopsy ◽  
Pleural Diseases ◽  
Image Guided ◽  
Medical Thoracoscopy

scholarly journals DIAGNOSTIC YIELD OF ABRAMS PLEURAL BIOPSY IN PATIENTS PRESENTING WITH LYMPHOCYTIC EXUDATIVE PLEURAL EFFUSION.

2019 ◽  
Vol 26 (07) ◽  
pp. 1014-1019
Author(s):  
Kashif Sardar ◽  
Nasir Javed ◽  
Sufyan Saleem Safdar
Keyword(s):  
Pleural Effusion ◽  
Diagnostic Yield ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Definitive Diagnosis ◽  
Care Hospital ◽  
Pleural Biopsy ◽  
Cross Sectional ◽  
Medical Thoracoscopy ◽  
Exudative Pleural Effusion

Background: Pleural effusion is the one of the most common clinical conditions encountered in pulmonology clinics and the routinely performed tests on pleural fluid do not provide definitive diagnosis in majority of the cases. Medical thoracoscopy with pleural biopsy under direct vision of the abnormal area provides the highest diagnostic yield. Abrams closed needle pleural biopsy is a conventional and cheaper procedure which can help in the definitive diagosis in cases of undiagnosed pleural effusion. Objectives: To determine the diagnostic yield of abrams pleural biopsy in patients presenting with lymphocytic exudative pleural effusion. Study Design: Cross Sectional Study. Setting: Department of Pulmonology Nishtar Hospital Multan; Tertiary care hospital of 1180 beds. Period: Six months. Results: There were 145 patients diagnosed with lymphocytic exudative pleural effusion. Of these 145 study cases, males were 83/145 (57.2%) whereas females were 62/145 (42.8%). Mean age of our patients was 41.62 ± 13.63 years while mean duration of illness was 7.0 ± 3.24 weeks. When the frequencies of various diagnosis established on the basis of histopathology results obtained from the tissue specimen obtained with Abrams pleural biopsy was noted, Tuberculosis was the major cause of lymphocytic exudative pleural effusion as its frequency was noted to be in 81/145 (55.9%) of our patients while malignancy was present in 26/145 (17.9%) of our study cases whereas the histopathology turned out to be inconclusive in 38/145 (26.2%) showing non-specific inflammation. The diagnostic yield of Abrams pleural biopsy turned out to be 73.8% whereas it was unable to establish diagnosis in 26.2%. Conclusion: Abrams needle pleural biopsy is simple, reliable and safe method of diagnosis with a good diagnostic yield. Routine use of this procedure in patients with lymphocytic exudative pleural effusion can lead to a definitive diagnosis in majority of patients.

scholarly journals Pleural tuberculosis: medical thoracoscopy greatly increases the diagnostic accuracy

2018 ◽  
Vol 4 (1) ◽  
pp. 00046-2017 ◽  
Author(s):  
Angelo Gianni Casalini ◽  
Pier Anselmo Mori ◽  
Maria Majori ◽  
Miriam Anghinolfi ◽  
Enrico Maria Silini ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Diagnostic Methods ◽  
Fibreoptic Bronchoscopy ◽  
Consecutive Series ◽  
Pleural Biopsy ◽  
Lung Lesions ◽  
Molecular Tests ◽  
Medical Thoracoscopy ◽  
Pleural Tuberculosis ◽  
Work Up

Our objective was to evaluate the efficacy of a standardised work-up in the diagnosis of pleural tuberculosis (TB) that included fibreoptic bronchoscopy and medical thoracoscopy.A consecutive series of 52 pleural TB patients observed during the period 2001–2015 was evaluated retrospectively. 20 females, mean (range) age 39.7 (18–74) years, and 32 males, mean (range) age 45.75 (21–83) years, were included (28 non-EU citizens (53.8%)). The diagnosis of TB infections was established by identification (using stains, culture or molecular tests) of Mycobacterium tuberculosis in the pleura, sputum and/or bronchial specimens, or by evidence of caseous granulomas on pleural biopsies. Patients with and without lung lesions were considered separately.The diagnostic yield of the microbiological tests on pleural fluid was 17.3% (nine out of 52 patients). Among the 18 patients with lung lesions, bronchial samples (washing, lavage or biopsy) were positive in 50% of cases (nine patients). Cultures of pleural biopsies were positive in 63% of cases (29 out of 46 patients); pleural histology was relevant in all patients. Without pleural biopsy, a diagnosis would have been reached in 15 out of 52 patients (28.6%) and in four of them only following culture at 30–40 days.An integrated diagnostic work-up that includes all the diagnostic methods of interventional pulmonology is required for a diagnosis of pleural TB. In the majority of patients, a diagnosis can be reached only with pleural biopsy.

scholarly journals IMPROVING PLEURAL BIOPSY YIELD THROUGH THE INTEGRATION OF ELECTROCAUTERY INTO SEMI-RIGID MEDICAL THORACOSCOPY

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A1973
Author(s):  
Grant Senyei ◽  
Alex Pearce ◽  
Matthew Nobari ◽  
Russell Miller ◽  
George Cheng
Keyword(s):  
Pleural Biopsy ◽  
Medical Thoracoscopy
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