ROLE OF THORACOSCOPY IN UNDIAGNOSED PLEURAL EFFUSIONS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Semi-rigid thoracoscopy is a safe and efficacious procedure in patients with undiagnosed pleural effusion. Objectives1. To evaluate the role of thoracoscopy in undiagnosed pleural effusions. 2. To evaluate histopathological profile of undiagnosed pleural effusions. MATERIALS AND METHODS This prospective observational study was conducted on 50 patients with pleural effusion, who have been diagnosed between August 2009 and August 2011 at KIMS, Narketpally. RESULTS The common age group being 41 - 60 yrs. in 23 cases (46%). There were 32 males (64%) and 18 females (36%) (Table 2). 26 patients (52%) had right-sided pleural effusion and 19 (38%) had left-sided pleural effusion and 5 (10%) had bilateral pleural effusion. ADA is more than 60 in 16 cases (32%) and less than 60 in 34 cases (68%). Thoracic CT examination showed pleural nodularity in 12 patients (24%). 25 patients (50%) had tubercular pleural effusion, 5 patients (5%) had chronic non-specific inflammation and 20 patients (45%) had malignancy. Among malignancy, 14 patients (70%) had adenocarcinoma, 1 patient (5%) had mesothelioma and 5 patients (25%) had squamous cell carcinoma. CONCLUSION Semi-rigid thoracoscopy is a safe and efficacious procedure in patients with undiagnosed exudative pleural effusions.
Authors and Affiliations
Raj Kumar K, Surendar Reddy K, Yugaveer K, Venu K
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