Diagnostic value of medical thoracoscopy in malignant pleural effusion
Abstract Background Medical thoracoscopy has been shown to be an efficacious procedure in diagnosing unexplained exudative pleural effusions with excellent safety. This study aimed to assess the diagnostic significance of thoracoscopy in the management of patients with malignant pleural effusion (MP...
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doaj-f9256c37a253433bb73407e9e582511d2020-11-24T21:05:41ZengBMCBMC Pulmonary Medicine1471-24662017-08-011711510.1186/s12890-017-0451-1Diagnostic value of medical thoracoscopy in malignant pleural effusionYan-Bing Wu0Li-Li Xu1Xiao-Juan Wang2Zhen Wang3Jun Zhang4Zhao-Hui Tong5Huan-Zhong Shi6Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chaoyang Hospital, Capital Medical UniversityAbstract Background Medical thoracoscopy has been shown to be an efficacious procedure in diagnosing unexplained exudative pleural effusions with excellent safety. This study aimed to assess the diagnostic significance of thoracoscopy in the management of patients with malignant pleural effusion (MPE). Methods Consecutive patients with malignant pleural effusion were retrospectively reviewed, and their demographic, radiographic, thoracoscopic and histological data were collected. Results Between July 2005 and June 2014, 342 of 833 patients undergoing thoracoscopy were finally confirmed to suffer from MPE. The top three frequent causes of MPE were metastatic carcinoma (79.5%), malignant mesothelioma (10.2%), and lymphoma (2.9%). Among metastatic malignancies, the most common cancer was lung cancer (85.2%), followed by breast cancer (4.4%), ovarian cancer (2.2%), pancreatic cancer (1.8%), etc. No serious adverse events associated with thoracoscopy were recorded. Conclusions Medical thoracoscopy is a valuable and safe tool in diagnosing malignant pleural effusion with minimal complication rates.http://link.springer.com/article/10.1186/s12890-017-0451-1DiagnosisMalignant pleural effusionPleural biopsySensitivity and specificityThoracoscopy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yan-Bing Wu Li-Li Xu Xiao-Juan Wang Zhen Wang Jun Zhang Zhao-Hui Tong Huan-Zhong Shi |
spellingShingle |
Yan-Bing Wu Li-Li Xu Xiao-Juan Wang Zhen Wang Jun Zhang Zhao-Hui Tong Huan-Zhong Shi Diagnostic value of medical thoracoscopy in malignant pleural effusion BMC Pulmonary Medicine Diagnosis Malignant pleural effusion Pleural biopsy Sensitivity and specificity Thoracoscopy |
author_facet |
Yan-Bing Wu Li-Li Xu Xiao-Juan Wang Zhen Wang Jun Zhang Zhao-Hui Tong Huan-Zhong Shi |
author_sort |
Yan-Bing Wu |
title |
Diagnostic value of medical thoracoscopy in malignant pleural effusion |
title_short |
Diagnostic value of medical thoracoscopy in malignant pleural effusion |
title_full |
Diagnostic value of medical thoracoscopy in malignant pleural effusion |
title_fullStr |
Diagnostic value of medical thoracoscopy in malignant pleural effusion |
title_full_unstemmed |
Diagnostic value of medical thoracoscopy in malignant pleural effusion |
title_sort |
diagnostic value of medical thoracoscopy in malignant pleural effusion |
publisher |
BMC |
series |
BMC Pulmonary Medicine |
issn |
1471-2466 |
publishDate |
2017-08-01 |
description |
Abstract Background Medical thoracoscopy has been shown to be an efficacious procedure in diagnosing unexplained exudative pleural effusions with excellent safety. This study aimed to assess the diagnostic significance of thoracoscopy in the management of patients with malignant pleural effusion (MPE). Methods Consecutive patients with malignant pleural effusion were retrospectively reviewed, and their demographic, radiographic, thoracoscopic and histological data were collected. Results Between July 2005 and June 2014, 342 of 833 patients undergoing thoracoscopy were finally confirmed to suffer from MPE. The top three frequent causes of MPE were metastatic carcinoma (79.5%), malignant mesothelioma (10.2%), and lymphoma (2.9%). Among metastatic malignancies, the most common cancer was lung cancer (85.2%), followed by breast cancer (4.4%), ovarian cancer (2.2%), pancreatic cancer (1.8%), etc. No serious adverse events associated with thoracoscopy were recorded. Conclusions Medical thoracoscopy is a valuable and safe tool in diagnosing malignant pleural effusion with minimal complication rates. |
topic |
Diagnosis Malignant pleural effusion Pleural biopsy Sensitivity and specificity Thoracoscopy |
url |
http://link.springer.com/article/10.1186/s12890-017-0451-1 |
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