Pleural staging using local anesthetic thoracoscopy in dry pleural dissemination and minimal pleural effusion
Open Access
- 25 February 2021
- journal article
- research article
- Published by Wiley in Thoracic Cancer
- Vol. 12 (8), 1195-1202
- https://doi.org/10.1111/1759-7714.13894
Abstract
Background Dry pleural dissemination (DPD) and minimal (n = 16). Three patients each with radiological DPD and minimal PE had visible PE on the LAT. Pleural biopsy was performed in the 16 cases in which pleural abnormalities were identified. On pleural staging, five cases were diagnosed without pleural dissemination (M0), and 13 cases were diagnosed with pleural dissemination (M1a). Only one case in which the lesion could not be identified because of pleural adhesions was false‐negative. The success rates for pleural staging, sensitivity, specificity, positive predictive value, and negative predictive value were 94.4% (17/18), 92.8% (13/14), 100% (4/4), 100% (13/13), and 80.0% (4/5), respectively. There were no lung lacerations or other severe complications caused by the procedure or during blunt dissection. Conclusion LAT might be a useful tool for accurate pleural staging in cases with DPD and minimal PE suspected radiologically.Keywords
This publication has 31 references indexed in Scilit:
- Prognostic Impact of Minimal Pleural Effusion in Non–Small-Cell Lung CancerJournal of Clinical Oncology, 2014
- Diagnostic Accuracy and Safety of Semirigid Thoracoscopy in Exudative Pleural EffusionsSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2013
- Establishing the Diagnosis of Lung CancerSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2013
- Dry Pleural Dissemination in Non–Small Cell Lung Cancer: Prognostic and Diagnostic ImplicationsRadiology, 2011
- Investigation of a unilateral pleural effusion in adults: British Thoracic Society pleural disease guideline 2010Thorax, 2010
- Local anaesthetic thoracoscopy: British Thoracic Society pleural disease guideline 2010Thorax, 2010
- Integrated PET/CT and the Dry Pleural Dissemination of Peripheral Adenocarcinoma of the LungJournal of Computer Assisted Tomography, 2006
- Helical Computed Tomography Diagnosis of Pleural Dissemination in Lung CancerJournal of Thoracic Imaging, 1998
- CT in differential diagnosis of diffuse pleural disease.American Journal of Roentgenology, 1990
- Lung Cancer and Pleural EffusionSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 1985