書誌事項
- タイトル別名
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- Transdermal Pleural Biopsy in the Patients with Pleural Effusion
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説明
A total of 290 pleural biopsies were performed in 253 patients with exudative pleuritis using the Cope needle biopsy technique.<br>Specimens were obtained in 95 cases (94.1%) out of 101 patients with a subsequently proved diagnosis of tuberculous pleurisy, and a pathological diagnosis as tuberculosis was made in 69.5%. Culture of the pleural effusion from these patients was positive for tubercle bacilli in only 10.9 per cent. In these cases, the probability of diagnosis by pleural biopsy was higher in patients in which the procedure was performed earlier after onset, with profuse or non-bloody effusion, or with tuberculous lesions in the lung field.<br>Specimens were obtained in 147 cases (96.7%) out of 152 patients with carcinomatous pleurisy (121 cases were primary lung cancer). A pathological diagnosis was made in 65.3 per cent. In particular a diagnosis was made in 26 out of 50 patients in whom the effusion cytology was negative by this method.<br>This procedure is simple, safe and approximately 70 per cent accurate in the diagnosis of subsequently proved carcinomatous or tuberculous pleuritis. The Cope needle biopsy of the parietal pleura is a valuable procedure commonly used in evaluation of patients with exudative pleuritis.
収録刊行物
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- 日本胸部疾患学会雑誌
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日本胸部疾患学会雑誌 19 (8), 567-574, 1981
社団法人 日本呼吸器学会
