Clinical-therapeutic management of thoracoscopy in pleural effusion: a groundbreaking technique in the twenty-first century
Clin. transl. oncol. (Print)
; 13(1): 57-60, ene. 2011. tab
Article
in English
| IBECS
| ID: ibc-124392
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
INTRODUCTION:
The aim of this study was to investigate the effectiveness of thoracoscopy in the diagnosis of non-affiliated pleural effusions (PE). MATERIAL ANDMETHODS:
A five-year prospective study including data from 110 patients that were clinically diagnosed as benign (14.5%), malign (34.5%) and non-affiliated (50.9%). PE in patents without oncology disease and negative biopsy or cytology were considered as benign. Malignant diagnosis was established according to a pleural biopsy, compatible cytology and/or clinical features. Remaining cases were considered as non-affiliated. Thoracoscopy was done under local anaesthesia and sedation.RESULTS:
Thoracoscopy confirmed previous clinical diagnosis of benignity and malignity. Regarding non-affiliated patients, 30.35% were diagnosed after thoracoscopy as unspecific pleuritis, 17.86% mesothelioma and 1.79% pleural tuberculosis (TBC). The other 48.21% of patients reported as non-affiliated were diagnosed with pleural carcinoma. Statistical analysis did not reveal differences between frequencies analysed.CONCLUSIONS:
Our results indicate that thoracoscopy is a cost-effective and reliable technique for obtaining histological diagnosis in PE and also allows a directed pleurodesis if indicated (AU)
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Collection:
National databases
/
Spain
Health context:
Neglected Diseases
Health problem:
Tuberculosis
Database:
IBECS
Main subject:
Pleural Effusion
/
Postoperative Complications
/
Thoracoscopy
/
Clinical Trials as Topic
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Clin. transl. oncol. (Print)
Year:
2011
Document type:
Article
Institution/Affiliation country:
General University Hospital of Valencia/Spain
/
University Hospital of La Ribera/Spain