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ORIGINAL ARTICLE
Year : 2019  |  Volume : 17  |  Issue : 4  |  Page : 331-338

The role of percutaneous ultrasound-guided true-cut needle biopsy in patients with sheet-like pleural thickening


1 Department of Pathology, Faculty of Medicine (for boys), Al-Azhar University, Cairo, Egypt
2 Department of Diagnostic Radiology, Faculty of Medicine (for boys), Al-Azhar University, Cairo, Egypt
3 Department of Chest Diseases, Faculty of Medicine (for boys), Al-Azhar University, Cairo, Egypt

Correspondence Address:
Al Sayed M Tealeb
Pathology Department, Faculty of Medicine, Al Azhar University Cairo 11765
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AZMJ.AZMJ_92_18

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Background Pleural biopsy for histological confirmation is the standard diagnostic procedure for pleural diseases. Aim To identify the role of percutaneous ultrasound (US)-guided true-cut needle biopsy in patients with sheet-like pleural thickening. Patients and methods A prospective interventional simple controlled trial was conducted on 60 patients with computed tomographic evidence of pleural thickening. Percutaneous US-guided pleural biopsies using a true-cut needle were performed for pathological tissue characterization; complications were recorded. Results All patients were diagnosed, with only five (8%) patients found to have self-limiting pneumothorax, with no need for a chest tube. Fifty-three percent of patients had a histopathological diagnosis of mesothelioma, 14% had a histopathological result of adenocarcinoma, whereas 33% had chronic fibrosing pleuritis. Conclusion The US-guided procedure has a major advantage as it is being real time, rapid, available bedside, and well tolerated, and no serious complications were observed in good case selection and procedure.


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