Diagnostic value and safety of medical thoracoscopy in tuberculous pleural effusion

Wang, Zhen; Xu, Lili; Wu, Youlong; Wang, Xiaojuan; Yang, Yuan; Zhang, Jun; Tong, Zhaohui; Shi, Huan‐Zhong

doi:10.1016/j.rmed.2015.06.008

Cited by 67 publications

(54 citation statements)

References 26 publications

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“…A recent prospective case series reported a positive LAT diagnosis of TB in 330 of 333 confirmed cases, giving an overall sensitivity of 99.1% [44]. However this study took place in a high prevalence area and may not be generalizable.…”

Section: Local Anaesthestic Thoracoscopymentioning

confidence: 81%

Pleural biopsies in undiagnosed pleural effusions; Abrams vs image-guided vs thoracoscopic biopsies

Bibby

Maskell

2016

Current Opinion in Pulmonary Medicine

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms However this service is not universally available and may be unsuitable for some patients.Image-guided cutting-needle biopsies under computed tomography or ultrasound guidance have high diagnostic rates and are useful in a wide patient population. The main role of Abrams biopsies is in the diagnosis of tuberculous pleuritis in resource-poor settings.

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Section: Local Anaesthestic Thoracoscopymentioning

confidence: 81%

Pleural biopsies in undiagnosed pleural effusions; Abrams vs image-guided vs thoracoscopic biopsies

Bibby

Maskell

2016

Current Opinion in Pulmonary Medicine

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“…Recently, Wang et al analyzed the accuracy and outcome of MT in the diagnosis of 833 patients with pleural effusion, which is the largest series to date, and found that malignancies were the most common causes of undiagnosed PEs (8). There were totally 342 (41.1%) patients diagnosed as MPE after MT.…”

Section: Malignant Pleural Effusion (Mpe)mentioning

confidence: 99%

“…So far there is still lack of prospective randomized study to value the feasibility and safety of MT in the diagnosis of TPE. Wang et al retrospectively analyzed a total of 333 patients who were eventually confirmed to suffer from TPE via MT, which is the first study to validate the high diagnosis yield and safety of MT for the management of TPE (8). Under thoracoscopy, they observed pleural nodules in 69.4%, pleural adhesion in 66.7%, hyperemia in 60.7%, pleural plaques in 6.0%, ulcer in 1.5% of patients with tuberculous pleurisy.…”

Section: Tuberculous Pleural Effusion (Tpe)mentioning

confidence: 99%

“…Under thoracoscopy, they observed pleural nodules in 69.4%, pleural adhesion in 66.7%, hyperemia in 60.7%, pleural plaques in 6.0%, ulcer in 1.5% of patients with tuberculous pleurisy. Pleural biopsy revealed the presence of mycobacterium tuberculosis in the pleura tissue or/and demonstration of caseating granulomas in the pleura in 330 (99.1%) patients (8).…”

Section: Tuberculous Pleural Effusion (Tpe)mentioning

confidence: 99%

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Medical thoracoscopy in China—the present status and the future

et al. 2017

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“…Thoracoscopic procedures. MT was performed by chest physicians in the pulmonary procedural suite of Beijing Chaoyang Hospital, as described previously (17,18). Once written informed consent was obtained, the patient was positioned with the affected side up in the lateral decubitus position.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic value of medical thoracoscopy in malignant pleural effusion induced by non‑Hodgkin's lymphoma

Wang

et al. 2017

Oncol Lett

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Abstract. Malignant pleural effusion (MPE) appears in up to 20% of patients with non-Hodgkin's lymphoma (NHL). The present study aimed to assess the efficacy of medical thoracoscopy (MT) in the diagnosis of patients with MPE induced by NHL. Between July 2005 and June 2014, 833 patients with pleural effusions of unknown etiology underwent MT in Beijing Chaoyang Hospital (Beijing, China), where diagnostic thoracocentesis or/and blind pleural biopsy had failed to yield an answer. Demographic, radiographic, thoracoscopic, histological and immunophenotyping data of 10 NHL patients with MPE were then retrospectively analyzed. Under medical thoracoscopy, pleural nodules (in n=6 patients), hyperemia (n=5), plaque-like lesions (n=4), pleural thickening (n=3), cellulose (n=3), ulcer (n=2), adhesion (n=2), and scattered hemorrhagic spots (n=1) were observed on the surface of parietal pleura. Histopathological and immunohistochemical analysis of pleural biopsy samples led to a correct diagnosis of B-cell NHL in 7 patients and T-lymphoblastic NHL in 2 patients.Data from the present study demonstrated that pleural biopsy through MT achieved a definite diagnosis of NHL in 9 out of 10 (90%) patients with MPE induced by NHL. Therefore, MT is a useful method for diagnosing MPE induced by NHL.

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Diagnostic value and safety of medical thoracoscopy in tuberculous pleural effusion

Abstract: Our data showed that medical thoracoscopy is a simple procedure with high diagnostic yield and excellent safety for the diagnosis of tuberculous pleural effusion.

Cited by 67 publications

References 26 publications

Pleural biopsies in undiagnosed pleural effusions; Abrams vs image-guided vs thoracoscopic biopsies

Pleural biopsies in undiagnosed pleural effusions; Abrams vs image-guided vs thoracoscopic biopsies

Medical thoracoscopy in China—the present status and the future

Diagnostic value of medical thoracoscopy in malignant pleural effusion induced by non‑Hodgkin's lymphoma

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