Diagnostic accuracy of semirigid thoracoscopy in exudative pleural effusions and relationship of thoracoscopic findings with probability of malignant diagnosis.

Monaldi Archives for Chest Disease = Archivio Monaldi Per Le Malattie Del Torace
Ashok KuwalSurjit Singh

Abstract

Semirigid thoracoscopy is increasingly becoming the procedure of choice for evaluation of undiagnosed exudative pleural effusions. Few studies have reported relationship of thoracoscopic appearances of pleural abnormalities and etiological diagnoses. We aimed our study to assess the diagnostic utility and safety of semirigid thoracoscopy for evaluation of patients with undiagnosed exudative pleural effusion. Further, we also pursued to find any relation of various thoracoscopic findings with the final diagnosis. We prospectively enrolled hospitalized patients with undiagnosed exudative pleural effusion who underwent semirigid thoracoscopy. Demographic, clinical and laboratory data along with data on thoracoscopic appearance of various pleural abnormalities and histopathological diagnosis of pleural biopsy specimens were collected and analysed. Semirigid thoracoscopy was diagnostic in 46 (N=55) patients (83.64%). Malignancy was diagnosed in 31 patients (56.36%), of which adenocarcinoma was the most common histopathological diagnosis (45.16%).  Sensitivity, specificity, PPV, NPV LR+ and LR- of thoracoscopy were 93.87%, 100%, 100%, 66.67%, 40.30 and 0.06, respectively. Pleural nodules, masses and hemorrhagic pleural fluid signific...Continue Reading

References

Feb 15, 1991·Annals of Internal Medicine·R Menzies, M Charbonneau
May 16, 1998·The European Respiratory Journal·R Loddenkemper
Mar 9, 2005·Respiration; International Review of Thoracic Diseases·L N VenekampM Noppen
Jan 12, 2007·The European Respiratory Journal·M MunavvarJ Mills
Nov 8, 2007·Respirology : Official Journal of the Asian Pacific Society of Respirology·Pyng LeeHenri G Colt
May 26, 2012·Lung India : Official Organ of Indian Chest Society·V G Prabhu, R Narasimhan
Jul 1, 2010·Journal of Bronchology & Interventional Pulmonology·Anant MohanMohammed Munavvar
Oct 1, 2010·Journal of Bronchology & Interventional Pulmonology·Anant MohanMohammed Munavvar
Mar 31, 2015·Lung India : Official Organ of Indian Chest Society·Loganathan NattusamyRandeep Guleria
Aug 12, 2016·Annals of Thoracic Medicine·Alberto ValsecchiGiampietro Marchetti
Dec 14, 2018·Experimental and Therapeutic Medicine·Rui-Lin ChenShu-Mei Yang

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