Single access videothoracoscopic biopsy and talc pleurodesis in patients with malignant pleural effusion

Attene, Federico; Paliogiannis, Panagiotis; Scognamillo, Fabrizio; Marrosu, Antonio; Trignano, Mario

doi:10.1007/s13126-012-0047-4

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Generally, a surgical biopsy (open or thoracoscopic) is necessary to establish the final diagnosis of DSRCT. Video assisted thoracoscopic surgery is minimally invasive and has a high diagnostic potential in cases with pleural effusion and thickening, because it allows the visualization of the lesions and the obtainment of multiple pleural biopsies [ 27 ]. Additionally, videothoracoscopic surgery can be performed under local anesthesia, as in the case described by Ikeue et al [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Desmoplastic small round cell tumors of the pleura: a review of the clinical literature

Fois

Pirina

Arcadu

et al. 2017

Multidiscip Respir Med

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Desmoplastic small round cell tumor of the pleura is a rare malignancy, with only a few cases reported in the scientific literature. The aim of the present review is to discuss the demographic, pathological, clinical, and therapeutic features of this rare tumor. English-language articles published since 1989, when the first case of desmoplastic small round cell tumor of the pleura was described, were retrieved, and fifteen cases included in fourteen articles were revised. The mean age of the patients was 25.5 years, out of them 60% were males. Chest pain, pleural effusion, and dyspnea were the most common clinical manifestations, while chest roentgenogram and computed tomography were the imaging techniques most commonly used. Surgical biopsy was employed in 80% of the cases for diagnosis. A multidisciplinary approach consisting in a combination of surgery with chemotherapy and radiation therapy was adopted in most cases. Only two patients (13.3%) were alive at 3 years from diagnosis, reflecting the aggressiveness of the disease, and the poor outcomes of the treatments currently available. Desmoplastic small round cell tumors of the pleura are extremely aggressive and challenging to diagnose, because of their rarity and unspecific demographic, clinical, and radiological features. An in-depth knowledge of such features is necessary for the optimal management of patients with this rare malignancy.

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Section: Discussionmentioning

confidence: 99%

Desmoplastic small round cell tumors of the pleura: a review of the clinical literature

Fois

Pirina

Arcadu

et al. 2017

Multidiscip Respir Med

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“…The pathological features of MDM described, reflect the difficulty to establish such a diagnosis in needle biopsy and/or cytological preparations; furthermore, the evolution of the modern minimally invasive video‐thoracoscopic techniques frequently allow the obtainment of histology specimens . Only one diagnosis by pleural fluid cytology has been described in the literature, and was reported by Ordonez in 2000 .…”

Section: Discussionmentioning

confidence: 99%

Deciduoid mesothelioma of the thorax: A comprehensive review of the scientific literature

Paliogiannis

Putzu

Ginesu

et al. 2017

Clinical Respiratory J

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Objective: Deciduoid mesothelioma is a rare variant of malignant epithelioid mesothelioma. It often involves the peritoneum, but also thoracic cases have been reported. The aim of the present review is to describe the demographic, clinical, radiological, and pathological features of such a rare variant of thoracic mesothelioma, and the state of the art regarding the therapeutic approaches currently available.Data source: English-language articles published from 1985 to June 2016, and related to thoracic deciduoid mesothelioma cases were retrieved using the Pubmed database.Study selection: The search terms were "mesothelioma," "thoracic mesothelioma," "epithelial mesothelioma," "pleural mesothelioma," and "deciduoid mesothelioma."Results: Forty-four cases included in 16 articles, published in the period under investigation, were analyzed in detail.Conclusions: The mean age of the patients was 63 years, and the male to female ratio 1.7:1. Approximately 58% had exposure to asbestos, and 73% had a smoking history; familiarity was rarely reported. The most common anatomical site of origin was the right pleura, and the most frequent clinical manifestations were chest pain, dyspnea, cough, and weight loss. Thoracic X-ray and computed tomography were the imaging techniques most employed for diagnosis and surgical planning. The pathological diagnosis was obtained by examination of surgical or biopsy specimens in most cases. The best treatment strategy of deciduoid mesothelioma is a matter of debate; nevertheless a multidisciplinary approach is currently the best option for the choice of the adequate therapeutic scheme.cancer, deciduoid, mesothelioma, pleura, thorax | I NTR ODU CTI ONMalignant mesothelioma (MM) is a rare form of cancer derived from mesothelial cells of serous membranes, principally the pleura and the peritoneum.1,2 In most industrialized countries, more than 80% of pleural mesotheliomas in men are related, principally for occupational reasons, to asbestos exposure, particularly to amosite and crocidolite fibres.3 Actually, high incidence rates are observed in western countries as a result of asbestos exposure in the 70s848 |

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Single access videothoracoscopic biopsy and talc pleurodesis in patients with malignant pleural effusion

Cited by 2 publications

References 15 publications

Desmoplastic small round cell tumors of the pleura: a review of the clinical literature

Desmoplastic small round cell tumors of the pleura: a review of the clinical literature

Deciduoid mesothelioma of the thorax: A comprehensive review of the scientific literature

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