Diagnostic rentability of close pleural biopsy: Tru-cut vs. Cope

Revista Medica del Instituto Mexicano del Seguro Social 2018 January Valdez-López HG, Cano-Rodríguez AI, Montemayor-Chapa M, Castillo-Sánchez JF Abstract BACKGROUND: The prevalence of pleural effusion in Mexico is over 400 per 100 000 inhabitants. The etiology is infectious in 45.7% and neoplastic in 32.6%. Closed pleural biopsy sensibility is 48-70% in cancer and 50-59% in…

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Large primary pleural synovial sarcoma with severe dyspnea: a case report

Surgical Case Reports [Epub 2017 February 15] [Link] Yamaki M, Yonehara S, Noriyuki T Abstract BACKGROUND: Synovial sarcoma is a malignant neoplasm of soft tissues. It occurs mainly in the extremities and is closely related to tendons, tendon sheaths, and bursal structures. Primary synovial sarcoma of the pleura and lungs is extremely rare. CASE PRESENTATION:…

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A Single-Institution Experience in Percutaneous Image-Guided Biopsy of Malignant Pleural Mesothelioma

Cardiovascular and interventional radiology 2017 January 30 [Epub ahead of print] [Link] Welch BT, Eiken PW, Atwell TD, Peikert T, Yi ES, Nichols F, Schmit GD Abstract PURPOSE:Mesothelioma has been considered a difficult pathologic diagnosis to achieve via image-guided core needle biopsy. The purpose of this study was to assess the diagnostic sensitivity of percutaneous…

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Flex-rigid pleuroscopic biopsy with the SB knife Jr is a novel technique for diagnosis of malignant or benign fibrothorax

Journal of Thoracic Disease 2016 November [Link] Wang XB, Yin Y, Miao Y, Eberhardt R, Hou G, Herth FJ, Kang J Abstract Diagnosing pleural effusion is challenging, especially in patients with malignant or benign fibrothorax, which is difficult to sample using standard flexible forceps (SFF) via flex-rigid pleuroscopy. An adequate sample is crucial for the…

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Malignant pleural mesothelioma with lacrimal gland metastasis

Acta Ophthalmologica 2016 December 9 [Epub 2016 July 16] [Link] Hanafi H, Verdijk RM, Paridaens D Abstract PURPOSE: To describe a rare clinical case of biopsy-proven metastatic mesothelioma of the lacrimal gland which responded well to chemo and radiation therapy. METHODS: Interventional case report. RESULTS: A 55-year-old woman with an untreated malignant biopsy-proven pleural mesothelioma…

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Diagnostic Utility of Pleural Fluid Cell Block versus Pleural Biopsy Collected by Flex-Rigid Pleuroscopy for Malignant Pleural Disease: A Single Center Retrospective Analysis

PLoS One 2016 November 23 [Link] Miyoshi S, Sasada S, Izumo T, Matsumoto Y, Tsuchida T Abstract BACKGROUND: Some trials recently demonstrated the benefit of targeted treatment for malignant disease; therefore, adequate tissues are needed to detect the targeted gene. Pleural biopsy using flex-rigid pleuroscopy and pleural effusion cell block analysis are both useful for…

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Semi-Rigid Thoracoscopic Punch Biopsy Using a Hybrid Knife with a High-Pressure Water Jet for the Diagnosis of Pleural Effusions

Respiration; International Review of Thoracic Diseases 31 August 2016 [Epub ahead of print] [Link] Yin Y, Eberhardt R, Wang XB, Wang QY, Kang J, Herth FJ, Hou G Abstract Semi-rigid thoracoscopy is an important technique in the definitive diagnosis of pleural diseases with high diagnostic sensitivity and specificity. Obtaining adequate samples from thickened pleura is…

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Evaluation of predictive value of pleural CEA in patients with pleural effusions and histological findings: A prospective study and literature review

Clinical Biochemistry 2016 August 10 [Epub ahead of print] [Link] Tozzoli R, Basso SM, D’Aurizio F, Metus P, Lumachi F Abstract OBJECTIVES: Pleural effusion recognizes heterogeneous etiology and pathogenesis and requires invasive diagnostic procedures. Usually, after pleural fluid analysis, 30-50% of patients with malignant pleural effusion exhibit negative pleural cytology, and the sensitivity of image-guided…

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