Diagnostic Value of Thoracoscopic Pleural Biopsy for Pleurisy Under Local Anaesthesia

Sakuraba, Minoru; Masuda, Kimihiko; Hebisawa, Akira; Sagara, Yuzo; Komatsu, Hikotaro

doi:10.1111/j.1445-2197.2006.03839.x

Cited by 43 publications

(38 citation statements)

References 13 publications

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“…(12,(15)(16)(17)21) In our study, nodules were suggestive for malign diseases diagnosed in 18 of 23 patients (78%). Plaquelike lesions were also malignant in 57% of the patients with that appearance.…”

Section: Discussion:-mentioning

confidence: 99%

“…Tuberculosis pleurisy represents with tiny white nodules more disseminated. (22) Further studies are needed to support the relation between the appearance of parietal pleura and the histopathology results.…”

Section: Discussion:-mentioning

confidence: 99%

“…Similar age range and male predominance have been also reported in several studies. (12,(15)(16)(17) Emad et al have been reported that the pleuroscopy was superior to closed biopsy in older age group. (18) Thoracoscopy have the advantage of visualization of the parietal pleura and taking biopsy from the lesions.…”

Section: Discussion:-mentioning

confidence: 99%

“…In other series, there has been same diagnosis obtained via thoracoscopic biopsies in 20-46% of the patients. (12,15,16,19) By considering the information on low possibility of false negative results in patients who underwent thoracoscopy, non-specific pleuritis diagnosis seems to be reliable.…”

Section: Discussion:-mentioning

confidence: 99%

“…(15)(16)(17)(18) In our study, it was made with the classification as effective and ineffective thoracoscopy. By considering the results of histopathology and microbiology, and the follow-up notes (for non-specific pleuritis and 2247 normal pleura in biopsy results) together, the procedure was found diagnostic in 45 patients (90%).…”

Section: Discussion:-mentioning

confidence: 99%

See 4 more Smart Citations

The Efficacy and Safety of Medical Thoracoscopy in Differential Diagnosis of Pleural Effusions.

Uğurlu¹,

Altınışık²,

Yildiz³

et al. 2016

IJAR

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Section: Discussion:-mentioning

confidence: 99%

Section: Discussion:-mentioning

confidence: 99%

Section: Discussion:-mentioning

confidence: 99%

Section: Discussion:-mentioning

confidence: 99%

Section: Discussion:-mentioning

confidence: 99%

See 3 more Smart Citations

The Efficacy and Safety of Medical Thoracoscopy in Differential Diagnosis of Pleural Effusions.

Uğurlu¹,

Altınışık²,

Yildiz³

et al. 2016

IJAR

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Intrapleural alteplase and DNase for complex tuberculous pleurisy: a medical approach

Cheong

Hamid

2021

Respirology Case Reports

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Tuberculous pleurisy is extra-pulmonary tuberculosis caused by Mycobacterium tuberculosis (MTB), which is one of the main cause of pleural effusions in developing countries. Intercostal chest catheter is useful for drainage of infected pleural fluid and facilitates sepsis control. However, management might be challenging in complex tuberculous pleural effusion as the septations within the effusion hinder pleural drainage. Intrapleural fibrinolysis therapy improved infected fluid drainage and septic parameter in parapneumonic effusions; however, there seems to be little data on its use in tuberculous pleurisy. In our case series of seven patients with complex tuberculous pleurisy, the use of intrapleural alteplase and deoxyribonuclease (DNase) facilitated fluid drainage which resulted in clinical and radiological improvement. These medications should not be confined to bacterial aetiology only as our case series highlights that in complex tuberculous pleurisy, intrapleural alteplase and DNase may be used as an adjunctive treatment which are proven to be successful and safe.

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Biopsy Techniques for the Diagnosis of Mesothelioma

Walters

Maskell

2011

Recent Results in Cancer Research

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The incidence of mesothelioma continues to increase in the Western world and is likely to do so until 2011-2015. It commonly presents with breathlessness secondary to a pleural effusion, and whilst guidelines still advise thoracocentesis as the first line investigation, the sensitivity of this is low and a tissue diagnosis is usually required. Abrams needle biopsy also has a low diagnostic yield and high complication rate and is not recommended in guidelines on the investigation of mesothelioma. Computed tomography-guided biopsy or thoracoscopy both have a comparable sensitivity and low complication rates. Local anaesthetic thoracoscopy is increasingly used by respiratory physicians and has a comparable diagnostic sensitivity to Video-Assisted Thoracoscopic Surgery (VATS) without the need for a general anaesthetic. The requirement for prophylactic radiotherapy after pleural procedures in cases of mesothelioma is contentious, as the results from early trials suggesting it reduces tract seeding have been disputed by more recent trials.

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Diagnostic Value of Thoracoscopic Pleural Biopsy for Pleurisy Under Local Anaesthesia

Abstract: Pleural biopsy by thoracoscopy under local anaesthesia should be actively carried out in patients with pleurisy, because the technique has a high diagnostic rate and can be easily and safely carried out.

Cited by 43 publications

References 13 publications

The Efficacy and Safety of Medical Thoracoscopy in Differential Diagnosis of Pleural Effusions.

The Efficacy and Safety of Medical Thoracoscopy in Differential Diagnosis of Pleural Effusions.

Intrapleural alteplase and DNase for complex tuberculous pleurisy: a medical approach

Biopsy Techniques for the Diagnosis of Mesothelioma

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