EXUDATIVE PLEURAL EFFUSION

Comparison of diagnostic yield between pleuroscopic and closed percutaneous pleural biopsies in patients

Authors

  • Nosheen Saifullah Jinnah Postgraduate of Medical Centre (JPMC) Karachi
  • Saifullah Baig Dow University Hospital Ojha Campus, Karachi
  • Niaz Hussain Soomro Dow University Hospital Karachi
  • Nadeem Rizvi Jinnah Postgraduate of Medical Centre (JPMC) Karachi.

DOI:

https://doi.org/10.29309/TPMJ/2016.23.08.1671

Keywords:

Pleuroscopy, Abrams biopsy, pleural effusion and biopsy

Abstract

Objectives: To compare the pleuroscopic and closed pleural biopsy by Abrams
needle in terms of diagnostic yield and obtaining specific diagnosis in cases of exudative pleural
effusion. Study Design: Cross sectional study. Period: August 2014 to February 2015. Setting:
Department of Thoracic Medicine Jinnah Post Graduate Medical Center Karachi. Methodology:
All patients with pleural effusion who were admitted and fulfilling the inclusion criteria were
included in the study .Closed pleural biopsy using Abrams needle followed by pleuroscopy with
a flexible pleuroscope was performed from the same incision, in the same sitting. The samples
were sent for histopathology. To control bias samples were coded as A and B and the code
was not known to the histopathologist. Results: Among 60 patients, Mean age was 42.85 years
with ±18.2 standard deviation and male to female ratio was 1.6 :1. Specific diagnosis through
pleuroscopic biopsy had shown 27 (45%) cases of tuberculosis, 25 (41.7%) of adenocarcinoma,
5 (8.3%) of chronic non specific inflammation, one (1.7%) case of lymphoma and 2 (3.3%)
cases could not be reached for any diagnosis. Conclusion: Pleuroscopy has better yield than
the Abrams needle biopsy in terms of both diagnostic yield and specific diagnosis

Author Biographies

Nosheen Saifullah, Jinnah Postgraduate of Medical Centre (JPMC) Karachi

MBBS, FCPS
Assistant Professor Pulmonology

Saifullah Baig, Dow University Hospital Ojha Campus, Karachi

MBBS, FCPS
Assistant Professor,
Ojha Institute of Chest Diseases

Niaz Hussain Soomro, Dow University Hospital Karachi

MBBS, FCPS
Assistant Professor,
Department of Thoracic Surgery
Ojha Institute of Chest Diseases

Nadeem Rizvi, Jinnah Postgraduate of Medical Centre (JPMC) Karachi.

MBBS, FCPS
Professor of Pulmonology

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Published

2016-08-10