1983
DOI: 10.1016/s0012-3692(15)33487-5
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Points to Consider When Choosing A Biopsy Method in Cases of Pleurisy of Unknown Origin

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Cited by 44 publications
(14 citation statements)
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“…From clinical observations, it is known that cancers disseminated in the pleural cavity, with the exception of lung cancer progressively involving the ipsilateral pleural cavity, are frequently found in the posterior inferior part of the parietal pleura in early-stage disease. Thus, some authors have speculated that primary pleural cancer develops from the parietal or diaphragmatic pleura and invades the visceral pleura [Canto et al, 1990;Boutin et al, in press]. Such a hypothesis takes into account the difference in prognosis of malignancies localized on the parietal pleura or involving the visceral pleura.…”
Section: Discussionmentioning
confidence: 99%
“…From clinical observations, it is known that cancers disseminated in the pleural cavity, with the exception of lung cancer progressively involving the ipsilateral pleural cavity, are frequently found in the posterior inferior part of the parietal pleura in early-stage disease. Thus, some authors have speculated that primary pleural cancer develops from the parietal or diaphragmatic pleura and invades the visceral pleura [Canto et al, 1990;Boutin et al, in press]. Such a hypothesis takes into account the difference in prognosis of malignancies localized on the parietal pleura or involving the visceral pleura.…”
Section: Discussionmentioning
confidence: 99%
“…Low diagnostic value of pleural biopsy depends on costal pleural involvement of cancer cells in only half of patients with MPE since initial metastatic disease most commonly occurs on the visceral, mediastinal, and diaphragmatic pleurae [54].…”
Section: Pleura and Fluid Characteristicsmentioning
confidence: 99%
“…The specificity of closed needle biopsy for MPE is high, but case series report sensitivities that range from 7% to 72% [53,[55][56][57]. However, closed pleural biopsy adds little to the cytological diagnosis in most cases and this is related to the scarce and irregular distribution of the tumour lesions in the pleural cavity when cytology is negative [54]. The yield of blind needle biopsy is higher when the pleural lesions are diffuse, as in tuberculosis and advanced neoplastic disease.…”
Section: Pleura and Fluid Characteristicsmentioning
confidence: 99%
“…However, it has been shown that many of these patients have effusions only when their visceral pleural is involved [1,6]. The visceral involvement represents hematogenous spread of cancer and leads to secondary metastases to the pleural space and parietal side.…”
Section: Pathogenesismentioning
confidence: 99%