Diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in Kobri El-Kobba Military Hospital
Background: Recurrent and persistent pleural exudates are common in clinical practice, and in a large number of patients, thoracocentesis and blind pleural biopsy procedures do not provide a definitive diagnosis. In the Western world, the majority of these exudates are malignant. Thoracoscopy today...
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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/S0422763814001009 |
| _version_ | 1819050235507245056 |
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| author | Laila A. Helala Gehan M. El-Assal Ayman A. Farghally Marwa M. Abd El Rady |
| author_facet | Laila A. Helala Gehan M. El-Assal Ayman A. Farghally Marwa M. Abd El Rady |
| author_sort | Laila A. Helala |
| collection | DOAJ |
| description | Background: Recurrent and persistent pleural exudates are common in clinical practice, and in a large number of patients, thoracocentesis and blind pleural biopsy procedures do not provide a definitive diagnosis. In the Western world, the majority of these exudates are malignant. Thoracoscopy today remains the gold standard technique in providing diagnosis and management in these cases.
Objectives: Diagnostic yield of medical thoracoscopy was evaluated in cases of undiagnosed pleural effusion.
Patients and methods: Semi flexible medical thoracoscopy was done for 40 patients in the period between March 2010 and October 2012 in Kobri El-Kobba Military chest Hospital through double points of entry.
Results: Medical thoracoscopy gave a definitive diagnosis in 38 out of 40 patients with diagnostic yield 95%. Malignancy was diagnosed in 28 patients (70%), one patient was diagnosed as empyema (2.5%), tuberculosis was found in 9 patients (22.5%), and it was non diagnostic in 2 patients (5%). The post-thoracoscopic complications in the studied group have occurred only in 4 patients (10%).
Conclusion: Medical thoracoscopy is a valuable tool in the diagnosis of undiagnosed exudative pleural effusion. It is a simple and safe method with high diagnostic yield and with low complication rates. |
| first_indexed | 2024-12-21T11:44:49Z |
| format | Article |
| id | doaj.art-c59f0af0c83a4a77a19ba46fbef9137d |
| institution | Directory Open Access Journal |
| issn | 0422-7638 |
| language | English |
| last_indexed | 2024-12-21T11:44:49Z |
| publishDate | 2014-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-c59f0af0c83a4a77a19ba46fbef9137d2022-12-21T19:05:12ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382014-07-0163362963410.1016/j.ejcdt.2014.04.002Diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in Kobri El-Kobba Military HospitalLaila A. Helala0Gehan M. El-Assal1Ayman A. Farghally2Marwa M. Abd El Rady3Department of Chest Diseases, Faculty of Medicine, Ain Shams University, EgyptDepartment of Chest Diseases, Faculty of Medicine, Ain Shams University, EgyptKobri El-Kobba Military Hospital, EgyptDepartment of Chest Diseases, Faculty of Medicine, Ain Shams University, EgyptBackground: Recurrent and persistent pleural exudates are common in clinical practice, and in a large number of patients, thoracocentesis and blind pleural biopsy procedures do not provide a definitive diagnosis. In the Western world, the majority of these exudates are malignant. Thoracoscopy today remains the gold standard technique in providing diagnosis and management in these cases. Objectives: Diagnostic yield of medical thoracoscopy was evaluated in cases of undiagnosed pleural effusion. Patients and methods: Semi flexible medical thoracoscopy was done for 40 patients in the period between March 2010 and October 2012 in Kobri El-Kobba Military chest Hospital through double points of entry. Results: Medical thoracoscopy gave a definitive diagnosis in 38 out of 40 patients with diagnostic yield 95%. Malignancy was diagnosed in 28 patients (70%), one patient was diagnosed as empyema (2.5%), tuberculosis was found in 9 patients (22.5%), and it was non diagnostic in 2 patients (5%). The post-thoracoscopic complications in the studied group have occurred only in 4 patients (10%). Conclusion: Medical thoracoscopy is a valuable tool in the diagnosis of undiagnosed exudative pleural effusion. It is a simple and safe method with high diagnostic yield and with low complication rates.http://www.sciencedirect.com/science/article/pii/S0422763814001009Pleural effusionThoracoscopyHigh diagnostic yield |
| spellingShingle | Laila A. Helala Gehan M. El-Assal Ayman A. Farghally Marwa M. Abd El Rady Diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in Kobri El-Kobba Military Hospital Egyptian Journal of Chest Disease and Tuberculosis Pleural effusion Thoracoscopy High diagnostic yield |
| title | Diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in Kobri El-Kobba Military Hospital |
| title_full | Diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in Kobri El-Kobba Military Hospital |
| title_fullStr | Diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in Kobri El-Kobba Military Hospital |
| title_full_unstemmed | Diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in Kobri El-Kobba Military Hospital |
| title_short | Diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in Kobri El-Kobba Military Hospital |
| title_sort | diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in kobri el kobba military hospital |
| topic | Pleural effusion Thoracoscopy High diagnostic yield |
| url | http://www.sciencedirect.com/science/article/pii/S0422763814001009 |
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