Role of thoracoscopic pleural biopsy in evaluation of pleural effusion
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 4
Abstract
Context Evaluation of a patient with pleural effusion involves clinical radiological and cytological evaluation of pleural fluid and histological evaluation of pleural biopsy It is not always possible to identify the exact etiology of pleural effusion based on cytological examination alone Pleural biopsy is sensitive in up to 91 of casesAims The Aim of the paper is to study the diagnostic yield of thoracoscopic pleural biopsy and to ascertain the etiology of pleural effusionsMaterials and Methods The material for this study is pleural biopsies received in the department of pathology in a tertiary care hospital A total of 103 biopsies were studied in three years 20132015 Biopsies were fixed in buffered formalin and routinely processed A panel of histochemical stains and immuno histochemical markers were done when requiredStatistical Analysis used NoneResults A total of 103 biopsies were studied M F ratio is 211 Youngest patient was 16 years and oldest was 80 years Most common diagnosis was tuberculosis diagnosed in 32 cases 326 other lesions diagnosed were acute infection 10 cases 102 chronic inflammation 24 cases 245 adenocarcinoma 13 132 squamous cell carcinoma 5 51 lymphoma 5 51 mesothelioma four cases408 one each of small cell carcinoma poorly differentiated carcinoma solitary fibrous tumour xanthogranulomatous inflammation extra medullary hematopoiesis benign mesothelial hyperplasia constituting 10 each Four biopsies were inadequate and excluded from the studyConclusions Thoracoscopic pleural biopsy has a very high sensitivity 91 and a specificity of 100 in diagnosing pleural effusions It is a safe procedure Material obtained can be used for ancillary techniques in cases of diagnostic dilemmasKeywords Pleural effusion Pleural Biopsy Thoracoscopy
Authors and Affiliations
Tameem Afroz, Sistla Radha
Keywords
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- EP ID EP475899
- DOI 10.18231/2394-6792.2018.0101
- Views 74
- Downloads 0
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