The optimal number of pleural biopsy specimens for a diagnosis of tuberculous pleurisy.
@article{Kirsch1997TheON,
title={The optimal number of pleural biopsy specimens for a diagnosis of tuberculous pleurisy.},
author={Carl M. Kirsch and D M Kroe and Raymond L. Azzi and William A. Jensen and Frank T. Kagawa and John H. Wehner},
journal={Chest},
year={1997},
volume={112 3},
pages={
702-6
}
}STUDY OBJECTIVES
To determine the optimal number of pleural biopsy (PLBX) specimens for a diagnosis of tuberculous pleurisy.
DESIGN
Retrospective review.
SETTING
County hospital.
METHODS
We reviewed all percutaneous needle biopsy specimens of the parietal pleura in 30 patients who had tuberculous pleurisy. Data are reported as mean+/-SEM and statistical comparisons are done with the Mann-Whitney test. We accepted p<0.05 as statistically significant.
RESULTS
The number of biopsy…
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References
SHOWING 1-10 OF 36 REFERENCES
Cytologic and bacteriologic analysis of fluid and pleural biopsy specimens with Cope's needle. Study of 414 patients.
- MedicineArchives of internal medicine
- 1990
The repetition of the dual procedure is indicated considering the scant morbidity and zero mortality, and the dual diagnostic sensitivity in the series of thoracenteses and pleural biopsies made with a Cope's needle was 86% in tuberculosis and 79% in neoplasia with 100% specificity.
Comparison of the diagnostic values of biopsies of the pleura and cytologic evaluation of pleural fluids.
- MedicineAmerican journal of clinical pathology
- 1979
Percutaneous needle biopsy of the parietal pleura is less efficacious in the diagnosis of malignant pleural disease than is cytologic evaluation of the fluid sediment, whereas in the diagnoses of tuberculous pleurisy, pleural biopsy proved superior.
Sensitivity, specificity, and predictive values of closed pleural biopsy.
- MedicineArchives of internal medicine
- 1984
Closed pleural biopsy with simultaneous fluid analysis is a valuable diagnostic procedure in community hospital patients, but a nonspecific result does not exclude malignant disease.
A prospective study of closed pleural biopsies.
- MedicineJAMA
- 1971
To evaluate the usefulness of performing pleural biopsy in every patient with undiagnosed pleural disease, regardless of the presence of fluid, a total of 222 biopsies were performed in 163 patients…
Diagnosis of tuberculous pleurisy by culture of pleural biopsy specimen.
- Medicine, BiologyArchives of internal medicine
- 1970
Pleural biopsy cultures for tubercle bacilli, performed on specimens from 63 consecutive patients with exudative pleural effusions, grew out Mycobacterium tuberculosis from the tissue of 16 patients, which proved to have tuberculous pleurisy.
NEEDLE BIOPSY OF PARIETAL PLEURA IN 124 CASES.
- MedicineArchives of internal medicine
- 1965
This paper is an account of the experience of pleural needle biopsy in 124 patients with pleural effusion at the time of thoracentesis, and the apparent simplicity and safety of the procedure without morbidity or discomfort to the patient.
Needle biopsy of the pleura in the diagnosis of pleural effusion
- MedicineThe Ulster medical journal
- 1987
Pleural fluid cytology was unhelpful in establishing the presence of a malignancy, and culture of the biopsy specimen was helpful in one case.
Needle biopsy of the parietal pleura; a preliminary report.
- Medicine, BiologyThe New England journal of medicine
- 1955
A simple method for needle biopsy of the parietal pleura is described that may obviate prolonged and costly diagnostic procedures and even, in some cases, cure serofibrinous pleurisy.
Audit of pleural biopsies: an argument for a pleural biopsy service.
- MedicineRespiratory medicine
- 1994
Pleural effusion: laboratory tests in 300 cases.
- Medicine, BiologyThorax
- 1979
The cause of pleural effusion was studied in 300 consecutive patients by clinical examination and laboratory tests and the various causes and the usefulness of the different investigative procedures are discussed.



