Medical Thoracoscopy: A Useful Diagnostic Tool for Undiagnosed Pleural effusion.

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dc.contributor.authorPrasad, Rajendra
dc.contributor.authorGarg, Rajiv
dc.contributor.authorVerma, S K
dc.contributor.authorSingh, Abhijeet
dc.contributor.authorHusain, N
dc.date.accessioned2015-03-13T06:24:36Z
dc.date.available2015-03-13T06:24:36Z
dc.date.issued2014-10
dc.description.abstractObjective. We aimed to assess the role of medical thoracoscopy in patients with undiagnosed pleural effusion. Methods. Patiens presenting with pleural effusion underwent three pleural aspirations. Patients in whom pleural fluid analysis was inconclusive underwent closed pleural biopsy for diagnostic confirmation. Patients in whom closed pleural biopsy was incolcusive underwent medical thoracoscopy using a rigid thoracoscope with a viewing angle of zero degrees was done under local anaesthesia and sedation with the patient lying in lateral decubitus position with the affected side up. Biopsy specimens from parietal pleura were obtained under direct vision and were sent for histopathological examination. Results. Of the 128 patients with pleural effusion who were studied, pleural fluid examination established the diagnosis in 81 (malignancy 33, tuberculosis 33, pyogenic 14 and fungal 1); 47 patients underwent closed pleural biopsy and a diagnosis was made in 28 patients (malignancy 24, tuberculosis 4). The remaining 19 patients underwent medical thoracoscopy and pleural biopsy and the aetiological diagnosis could be confirmed in 13 of the 19 patients (69%) (adenocarcinoma 10, poorly differentiated carcinoma 2 and mesothelioma 1). Conclusion. Medical thoracoscopy is a useful tool for the diagnosis of pleural diseases. The procedure is safe with minimal complications.en_US
dc.identifier.citationAgarwal Abhishek, Prasad Rajendra, Garg Rajiv, Verma S K, Singh Abhijeet, Husain N. Medical Thoracoscopy: A Useful Diagnostic Tool for Undiagnosed. The Indian Journal of Chest Diseases and Allied Sciences, 2014 Oct; 56 (4): 217-220.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/156799
dc.language.isoenen_US
dc.source.urihttps://medind.nic.in/iae/t14/i4/iaet14i4p217.pdfen_US
dc.subjectClosed pleural biopsyen_US
dc.subjectMedical thoracoscopyen_US
dc.subjectPleural diseaseen_US
dc.subjectPleural effusionen_US
dc.subject.meshAdult
dc.subject.meshBiopsy, Needle
dc.subject.meshDiagnostic Errors --prevention & control
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshImage-Guided Biopsy --methods
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPleura --pathology
dc.subject.meshPleural Diseases --classification
dc.subject.meshPleural Diseases --complications
dc.subject.meshPleural Diseases --diagnosis
dc.subject.meshPleural Effusion --diagnosis
dc.subject.meshPleural Effusion --etiology
dc.subject.meshProspective Studies
dc.subject.meshReproducibility of Results
dc.subject.meshThoracoscopy --methods
dc.titleMedical Thoracoscopy: A Useful Diagnostic Tool for Undiagnosed Pleural effusion.en_US
dc.typeArticleen_US
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