Closed percutaneous pleural biopsy: A lost art in the new era
To assess the association between size and number of biopsy specimens obtained by percutaneous closed pleural biopsy, with overall diagnostic yield in general, and histopathological evidence of tuberculosis pleurisy, in particular. One hundred and forty-three patients, with a high index of clinicall...
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| Veröffentlicht in: | Saudi medical journal 2009-06, Vol.30 (6), p.793-797 |
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| creator | KHADADAH, Mousa E MUQIM, Abdul-Aziz T AL-MUTAIRI, Abdulla D NAHAR, Ibrahim K SHARMA, Prem N BEHBEHANI, Nasser H EL-MARADNI, Nabeel M |
| description | To assess the association between size and number of biopsy specimens obtained by percutaneous closed pleural biopsy, with overall diagnostic yield in general, and histopathological evidence of tuberculosis pleurisy, in particular.
One hundred and forty-three patients, with a high index of clinically having tuberculous pleurisy, were referred to the respiratory division of Mubarak Al-Kabeer Hospital in Kuwait during a 9-year period (January 1999 to December 2007). All subjects with exudative lymphocytic predominant effusion underwent percutaneous closed pleural biopsy, looking for tuberculous granulomas. The clinical diagnosis and pathological characteristics (number and size of biopsy samples) were analyzed.
Overall diagnostic yield of percutaneous closed pleural biopsy in all cases was noticed to be 52%. The larger biopsy sample size of 3 mm and more, and the higher number of specimens (> or = 4) were significantly associated with an increased diagnostic yield for tuberculous pleurisy (p=0.007 and 0.047).
Obtaining 4 or more biopsy samples, and larger specimens of 3mm and more for histopathological evaluation, through percutaneous pleural biopsy, results in a better diagnostic yield for tuberculous pleurisy. |
| format | Article |
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One hundred and forty-three patients, with a high index of clinically having tuberculous pleurisy, were referred to the respiratory division of Mubarak Al-Kabeer Hospital in Kuwait during a 9-year period (January 1999 to December 2007). All subjects with exudative lymphocytic predominant effusion underwent percutaneous closed pleural biopsy, looking for tuberculous granulomas. The clinical diagnosis and pathological characteristics (number and size of biopsy samples) were analyzed.
Overall diagnostic yield of percutaneous closed pleural biopsy in all cases was noticed to be 52%. The larger biopsy sample size of 3 mm and more, and the higher number of specimens (> or = 4) were significantly associated with an increased diagnostic yield for tuberculous pleurisy (p=0.007 and 0.047).
Obtaining 4 or more biopsy samples, and larger specimens of 3mm and more for histopathological evaluation, through percutaneous pleural biopsy, results in a better diagnostic yield for tuberculous pleurisy.</description><identifier>ISSN: 0379-5284</identifier><identifier>PMID: 19526162</identifier><identifier>CODEN: SAMJDI</identifier><language>eng</language><publisher>Riyadh: Saudi Medical Journal</publisher><subject>Biological and medical sciences ; Biopsy - methods ; General aspects ; Humans ; Medical sciences ; Pleura - pathology ; Tuberculosis, Pleural - diagnosis ; Tuberculosis, Pleural - pathology</subject><ispartof>Saudi medical journal, 2009-06, Vol.30 (6), p.793-797</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21737337$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19526162$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KHADADAH, Mousa E</creatorcontrib><creatorcontrib>MUQIM, Abdul-Aziz T</creatorcontrib><creatorcontrib>AL-MUTAIRI, Abdulla D</creatorcontrib><creatorcontrib>NAHAR, Ibrahim K</creatorcontrib><creatorcontrib>SHARMA, Prem N</creatorcontrib><creatorcontrib>BEHBEHANI, Nasser H</creatorcontrib><creatorcontrib>EL-MARADNI, Nabeel M</creatorcontrib><title>Closed percutaneous pleural biopsy: A lost art in the new era</title><title>Saudi medical journal</title><addtitle>Saudi Med J</addtitle><description>To assess the association between size and number of biopsy specimens obtained by percutaneous closed pleural biopsy, with overall diagnostic yield in general, and histopathological evidence of tuberculosis pleurisy, in particular.
One hundred and forty-three patients, with a high index of clinically having tuberculous pleurisy, were referred to the respiratory division of Mubarak Al-Kabeer Hospital in Kuwait during a 9-year period (January 1999 to December 2007). All subjects with exudative lymphocytic predominant effusion underwent percutaneous closed pleural biopsy, looking for tuberculous granulomas. The clinical diagnosis and pathological characteristics (number and size of biopsy samples) were analyzed.
Overall diagnostic yield of percutaneous closed pleural biopsy in all cases was noticed to be 52%. The larger biopsy sample size of 3 mm and more, and the higher number of specimens (> or = 4) were significantly associated with an increased diagnostic yield for tuberculous pleurisy (p=0.007 and 0.047).
Obtaining 4 or more biopsy samples, and larger specimens of 3mm and more for histopathological evaluation, through percutaneous pleural biopsy, results in a better diagnostic yield for tuberculous pleurisy.</description><subject>Biological and medical sciences</subject><subject>Biopsy - methods</subject><subject>General aspects</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Pleura - pathology</subject><subject>Tuberculosis, Pleural - diagnosis</subject><subject>Tuberculosis, Pleural - pathology</subject><issn>0379-5284</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9z0tLxDAQB_AcFHdd_QqSi94K7eQteFiKL1jwsveSNClW0odJiuy3N7BVGJjD_ObPzAXalkSogoGkG3Qd41dZEs5LfoU2lWLAKw5b9FT7KTqLZxfaJenRTUvEs3dL0B6bfprj6RHvcUYJ65BwP-L06fDofrAL-gZddtpHd7v2HTq-PB_rt-Lw8fpe7w_FDESlQgEppWFgGZMKKiOBKtpJTTUBKivGBbGGcuvyHEynjRSmMxyUlFapluzQwzl2DtP34mJqhj62zvvzvU3eF4xVIsO7FS5mcLaZQz_ocGr-_s3gfgU6ttp3QY9tH_8d5AxBcv0Cuz1bnQ</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>KHADADAH, Mousa E</creator><creator>MUQIM, Abdul-Aziz T</creator><creator>AL-MUTAIRI, Abdulla D</creator><creator>NAHAR, Ibrahim K</creator><creator>SHARMA, Prem N</creator><creator>BEHBEHANI, Nasser H</creator><creator>EL-MARADNI, Nabeel M</creator><general>Saudi Medical Journal</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20090601</creationdate><title>Closed percutaneous pleural biopsy: A lost art in the new era</title><author>KHADADAH, Mousa E ; MUQIM, Abdul-Aziz T ; AL-MUTAIRI, Abdulla D ; NAHAR, Ibrahim K ; SHARMA, Prem N ; BEHBEHANI, Nasser H ; EL-MARADNI, Nabeel M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p239t-92308b52d558921b82494f8a4a324815673db46de5582bfab87bfb62988d99c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Biopsy - methods</topic><topic>General aspects</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Pleura - pathology</topic><topic>Tuberculosis, Pleural - diagnosis</topic><topic>Tuberculosis, Pleural - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KHADADAH, Mousa E</creatorcontrib><creatorcontrib>MUQIM, Abdul-Aziz T</creatorcontrib><creatorcontrib>AL-MUTAIRI, Abdulla D</creatorcontrib><creatorcontrib>NAHAR, Ibrahim K</creatorcontrib><creatorcontrib>SHARMA, Prem N</creatorcontrib><creatorcontrib>BEHBEHANI, Nasser H</creatorcontrib><creatorcontrib>EL-MARADNI, Nabeel M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Saudi medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KHADADAH, Mousa E</au><au>MUQIM, Abdul-Aziz T</au><au>AL-MUTAIRI, Abdulla D</au><au>NAHAR, Ibrahim K</au><au>SHARMA, Prem N</au><au>BEHBEHANI, Nasser H</au><au>EL-MARADNI, Nabeel M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Closed percutaneous pleural biopsy: A lost art in the new era</atitle><jtitle>Saudi medical journal</jtitle><addtitle>Saudi Med J</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>30</volume><issue>6</issue><spage>793</spage><epage>797</epage><pages>793-797</pages><issn>0379-5284</issn><coden>SAMJDI</coden><abstract>To assess the association between size and number of biopsy specimens obtained by percutaneous closed pleural biopsy, with overall diagnostic yield in general, and histopathological evidence of tuberculosis pleurisy, in particular.
One hundred and forty-three patients, with a high index of clinically having tuberculous pleurisy, were referred to the respiratory division of Mubarak Al-Kabeer Hospital in Kuwait during a 9-year period (January 1999 to December 2007). All subjects with exudative lymphocytic predominant effusion underwent percutaneous closed pleural biopsy, looking for tuberculous granulomas. The clinical diagnosis and pathological characteristics (number and size of biopsy samples) were analyzed.
Overall diagnostic yield of percutaneous closed pleural biopsy in all cases was noticed to be 52%. The larger biopsy sample size of 3 mm and more, and the higher number of specimens (> or = 4) were significantly associated with an increased diagnostic yield for tuberculous pleurisy (p=0.007 and 0.047).
Obtaining 4 or more biopsy samples, and larger specimens of 3mm and more for histopathological evaluation, through percutaneous pleural biopsy, results in a better diagnostic yield for tuberculous pleurisy.</abstract><cop>Riyadh</cop><pub>Saudi Medical Journal</pub><pmid>19526162</pmid><tpages>5</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Biological and medical sciences Biopsy - methods General aspects Humans Medical sciences Pleura - pathology Tuberculosis, Pleural - diagnosis Tuberculosis, Pleural - pathology |
| title | Closed percutaneous pleural biopsy: A lost art in the new era |
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