Ultrasound guided closed pleural biopsy versus medical thoracoscopic pleural biopsy in diagnosis of pleural diseases

Sobhy, Khaled E.; Kamel, Khaled Mahmoud; Ahmed, Sayeda S.; Hareedy, Amal; Yamamah, H.

doi:10.1016/j.ejcdt.2016.08.007

Cited by 7 publications

(2 citation statements)

References 22 publications

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“…Many studies show medical thoracoscopic pleural biopsieshad asensitivity of 94% and a diagnostic accuracy of 95.08%. [22] In our study, we get twenty positive cases out of twenty-six suspected malignancy cases with diagnostic accuracy near about 75%.In histopathological examinationmost common malignancy being adenocarcinoma in our study. Results are similar to some study where adenocarcinoma is most common histopathological finding.…”

Section: Resultsmentioning

confidence: 82%

Diagnostic Approach to Malignant Pleural Effusion- An Experience in Tertiary Care Centre

Pandey¹,

Mishra²,

Agrawal³

2018

AIMDR

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Background: Pleural effusion may be due to benign or malignant causes. Patient with known malignancy raises the possibility of pleural involvement. In majority of cases, malignant pleural effusion is associated with high morbidity and mortality.Confirmation of malignancy by cytological or histological examination of pleural fluid is currently important modality in establishing the diagnosis. Aim And Objective -To diagnose malignant pleural effusion by cytological and histological examination of pleural fluid at our centre. Methods: Cross-sectional study including all the patients with pleural effusion done on 101 cases. Results: Most of the effusions are benign. Initial pleural fluid cytology was positive for malignancy in 40% of patients. Thoracoscopic pleural biopsy confirmed 75% positive cases for malignancy.Malignancy causing pleural effusion are mostly due to carcinoma of lungs and breast. Conclusion: Cytological and histopathological examination of pleural fluid are useful diagnostic tools in patients with pleural effusion.

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Section: Resultsmentioning

confidence: 82%

Diagnostic Approach to Malignant Pleural Effusion- An Experience in Tertiary Care Centre

Pandey¹,

Mishra²,

Agrawal³

2018

AIMDR

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“…When comparing the performance of ultrasoundguided biopsy to thoracoscopy, Sobhy et al (19) found thoracoscopy to have a higher sensitivity (94% vs 77.7%) in diagnosing pleural diseases. On the contrary Zhou et al (20) found both modalities to have statistically similar diagnostic yields in cases of pleural effusion after inconclusive thoracocentesis.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Value of Ultrasound-Guided Pleural Biopsy in Patients with Recurrent Pleural Effusion

Azzam

Mohsen²,

Tadros³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Establishing a definite diagnosis in cases of pleural effusion is sometimes challenging. Adding ultrasound-guided tru-cut biopsy at the time of obtaining pleural fluid for analysis may increase the diagnostic yield in such cases. Objective: The aim of the current work was to assess the diagnostic yield and the safety of percutaneous ultrasound guided tru-cut needle biopsy in patients with recurrent undiagnosed pleural effusion. Patients and Methods: A retrospective observational study including 45 patients with recurrent undiagnosed pleural effusion who underwent ultrasound-guided tru-cut needle biopsy in the period between January 2019 and October 2020. Results: By using ultrasound-guided needle biopsy, we were able to reach a final histopathological diagnosis in 40 patients with a diagnostic yield of 88.8%. Only 5 cases remained undiagnosed (11.1%). Mesothelioma was found in 13 cases (28.9%) and bronchogenic carcinoma in 7 cases (15.5%). Post-procedural complications included 1 case of pneumothorax (2.2%) and 1 case of hemothorax (2.2%) all resolving with the small caliber chest drain that was inserted at the conclusion of the procedure. Conclusion:It could be concluded that ultrasound-guided needle biopsy is a safe procedure that can be useful in establishing a diagnosis in patients with recurrent pleural effusion. Its high diagnostic yield, while being simpler and cheaper than CT guided biopsy or thoracoscopy, makes it a suitable option in our clinical settings. More studies are needed to validate our findings.

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Review of Image-Guided Pleural Interventions

Dos Santos,

Gupta,

Souza

et al. 2023

Seminars in Roentgenology

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Ultrasound guided closed pleural biopsy versus medical thoracoscopic pleural biopsy in diagnosis of pleural diseases

Cited by 7 publications

References 22 publications

Diagnostic Approach to Malignant Pleural Effusion- An Experience in Tertiary Care Centre

Diagnostic Approach to Malignant Pleural Effusion- An Experience in Tertiary Care Centre

Diagnostic Value of Ultrasound-Guided Pleural Biopsy in Patients with Recurrent Pleural Effusion

Review of Image-Guided Pleural Interventions

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