Avicenna Journal of Medicine

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 7  |  Issue : 3  |  Page : 121--124

Diagnostic yield and safety of closed needle pleural biopsy in exudative pleural effusion


Govind Singh Rajawat1, Supreet Batra2, Rajendra Prasad Takhar3, Lalit Rathi1, Chand Bhandari1, Manohar Lal Gupta1 
1 Department of Chest and Tuberculosis, SMS Medical College, Jaipur, Rajasthan, India
2 Department of Respiratory Medicine, VP Chest Institute, University of Delhi, New Delhi, India
3 Department of Respiratory Medicine, Government Medical College, Kota, Rajasthan, India

Correspondence Address:
Rajendra Prasad Takhar
Quarter No 1/4, Medical College Campus, Kota, Rajasthan
India

Background: Closed pleural biopsy was previously considered a procedure of choice in cases of undiagnosed pleural effusion with good efficacy. Currently, the closed pleural biopsy has been replaced by thoracoscopic biopsy but not easily available in resource-limited setups. Objective: The objective of this study was to analyze the diagnostic yield and safety of closed needle pleural biopsy in exudative pleural effusion and assessment of patients' characteristics with the yield of pleural biopsy. Design: This was a cross-sectional study. Settings: This study was conducted at Institute of Respiratory Diseases, SMS Medical College, Jaipur, a tertiary care center of West India. Patients and Methods: A total of 250 cases of pleural effusion were evaluated with complete pleural fluid biochemical, microbiological, and cytological examination. Out of these 250 patients, 59 were excluded from the study as the diagnosis could be established on initial pleural fluid examination. The remaining (191) patients were considered for closed pleural biopsy with Abrams pleural biopsy needle. Main Outcome Measures: The main outcome measure was diagnostic yield in the form of confirming diagnosis. Results: Out of the 191 patients with exudative lymphocytic pleural effusion, 123 (64.40%) were diagnosed on the first pleural biopsy. Among the remaining 68 patients, 22 patients had repeat pleural biopsy with a diagnostic yield of 59.9%. The overall pleural biopsy could establish the diagnosis in 136 (71.20%) patients with pleural effusion. The most common diagnosis on pleural biopsy was malignancy followed by tuberculosis. Conclusions: Closed pleural biopsy provides diagnostic yield nearly comparative to thoracoscopy in properly selected patients of pleural effusions. In view of good yield, low cost, easy availability, and very low complication rate, it should be used routinely in all cases of undiagnosed exudative lymphocytic pleural effusion. Limitations: There was no comparison with a similar group undergoing thoracoscopic pleural biopsy.


How to cite this article:
Rajawat GS, Batra S, Takhar RP, Rathi L, Bhandari C, Gupta ML. Diagnostic yield and safety of closed needle pleural biopsy in exudative pleural effusion.Avicenna J Med 2017;7:121-124


How to cite this URL:
Rajawat GS, Batra S, Takhar RP, Rathi L, Bhandari C, Gupta ML. Diagnostic yield and safety of closed needle pleural biopsy in exudative pleural effusion. Avicenna J Med [serial online] 2017 [cited 2020 Aug 15 ];7:121-124
Available from: http://www.avicennajmed.com/article.asp?issn=2231-0770;year=2017;volume=7;issue=3;spage=121;epage=124;aulast=Rajawat;type=0