Exudative
Background: Pleural tissue can be harvested either by means of closed biopsies, thoracoscopy or open surgical biopsies. Access to thoracoscopy and open surgical biopsies is limited in many parts of the world and closed biopsies are therefore the preferred initial investigation (Diacon et al., 2003)...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-07-01
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| Series: | Egyptian Journal of Chest Disease and Tuberculosis |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0422763814000612 |
| _version_ | 1818956241928454144 |
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| author | Ahmed Sh. Mohamed Dina M. Abo-Sheisha Maha Mostafa Shamloula |
| author_facet | Ahmed Sh. Mohamed Dina M. Abo-Sheisha Maha Mostafa Shamloula |
| author_sort | Ahmed Sh. Mohamed |
| collection | DOAJ |
| description | Background: Pleural tissue can be harvested either by means of closed biopsies, thoracoscopy or open surgical biopsies. Access to thoracoscopy and open surgical biopsies is limited in many parts of the world and closed biopsies are therefore the preferred initial investigation (Diacon et al., 2003) [6].
Aim of the study: This study aimed to compare the diagnostic efficiency of image-assisted ANPB with that of medical thoracoscopy in patients with exudative pleural effusion.
Patients and methods: Forty patients with non-diagnosed exudative pleural effusions were recruited. All had a contrast-enhanced thoracic CT scan to assess pleural thickening. Patients were randomly stratified by baseline pleural thickening, to either image-assisted Abrams’ pleural biopsy (n = 20) or medical thoracoscopy biopsy (n = 20).
Results: Diagnostic sensitivity of image-assisted ANPB for 20 patients (group I) was 75% (15/20), for group Ia was 60% (6/10), and for group Ib was 90% (9/10). Diagnostic sensitivity of thoracoscopy for 20 patients (group II) was 85% (17/20), for group IIa was 80% (8/10), and for group IIb was 90% (9/10).
Conclusions: Image-assisted Abram-needle pleural biopsy is a primary alternative to thoracoscopy in exudative pleural effusions associated with pleural thickening. |
| first_indexed | 2024-12-20T10:50:50Z |
| format | Article |
| id | doaj.art-58965296eb79471e82a7ab1fe0f4f5ae |
| institution | Directory Open Access Journal |
| issn | 0422-7638 |
| language | English |
| last_indexed | 2024-12-20T10:50:50Z |
| publishDate | 2014-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-58965296eb79471e82a7ab1fe0f4f5ae2022-12-21T19:43:16ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382014-07-0163362562810.1016/j.ejcdt.2014.02.014ExudativeAhmed Sh. Mohamed0Dina M. Abo-Sheisha1Maha Mostafa Shamloula2Chest Department, Faculty of Medicine, Tanta University, EgyptRadiology Department, Faculty of Medicine, Tanta University, EgyptPathology Department, Faculty of Medicine, Tanta University, EgyptBackground: Pleural tissue can be harvested either by means of closed biopsies, thoracoscopy or open surgical biopsies. Access to thoracoscopy and open surgical biopsies is limited in many parts of the world and closed biopsies are therefore the preferred initial investigation (Diacon et al., 2003) [6]. Aim of the study: This study aimed to compare the diagnostic efficiency of image-assisted ANPB with that of medical thoracoscopy in patients with exudative pleural effusion. Patients and methods: Forty patients with non-diagnosed exudative pleural effusions were recruited. All had a contrast-enhanced thoracic CT scan to assess pleural thickening. Patients were randomly stratified by baseline pleural thickening, to either image-assisted Abrams’ pleural biopsy (n = 20) or medical thoracoscopy biopsy (n = 20). Results: Diagnostic sensitivity of image-assisted ANPB for 20 patients (group I) was 75% (15/20), for group Ia was 60% (6/10), and for group Ib was 90% (9/10). Diagnostic sensitivity of thoracoscopy for 20 patients (group II) was 85% (17/20), for group IIa was 80% (8/10), and for group IIb was 90% (9/10). Conclusions: Image-assisted Abram-needle pleural biopsy is a primary alternative to thoracoscopy in exudative pleural effusions associated with pleural thickening.http://www.sciencedirect.com/science/article/pii/S0422763814000612Pleural effusionClosed pleural biopsyThoracoscopy |
| spellingShingle | Ahmed Sh. Mohamed Dina M. Abo-Sheisha Maha Mostafa Shamloula Exudative Egyptian Journal of Chest Disease and Tuberculosis Pleural effusion Closed pleural biopsy Thoracoscopy |
| title | Exudative |
| title_full | Exudative |
| title_fullStr | Exudative |
| title_full_unstemmed | Exudative |
| title_short | Exudative |
| title_sort | exudative |
| topic | Pleural effusion Closed pleural biopsy Thoracoscopy |
| url | http://www.sciencedirect.com/science/article/pii/S0422763814000612 |
| work_keys_str_mv | AT ahmedshmohamed exudative AT dinamabosheisha exudative AT mahamostafashamloula exudative |