Chest
Clinical InvestigationsUltrasound-Guided Pleural Biopsy with Tru-Cut Needle
Section snippets
Patients and Methods
From January 1987 through June 1990, the data on 49 patients in National Taiwan University Hospital who had undergone a pleural biopsy were reviewed to compare the diagnostic efficacy of the traditional Abrams needle and the Tru-Cut needle under US guidance. The following patients were excluded: (1) patients with bilateral pleural effusions; (2) those with transudative effusions; (3) those with effusions that appeared to be grossly purulent; (4) and those who had a hemorrhagic diathesis. There
US-guided Pleural Biopsy with Tru-Cut Needle
Twenty-five patients with a pleural lesion underwent US-guided pleural biopsy using a Tru-Cut needle. Two patients underwent pleural biopsy twice: one patient received the diagnosis of pleural tuberculosis at the second pleural biopsy; in the other patient the diagnosis of neoplastic pleuritis was based on effusion cytologic study, although the two biopsies were inconclusive. The other 23 patients underwent only one pleural biopsy each. Of these 25 patients with pleural effusions there were ten
Discussion
Previous studies have shown that closed pleural biopsy using a Cope or an Abrams needle can be used to diagnose 57 to 80 percent of cases of tuberculous effusion and 40 to 73 percent of cases of neoplasia.3,5,6,19, 20, 21 In this study, the diagnostic sensitivity of the US-guided pleural biopsy with a Tru-Cut needle was 70 percent (7/10) for pleural neoplasia and 86 percent (6/7) for pleural tuberculosis. The diagnostic sensitivity with an Abrams needle was 20 percent (2/10) for pleural
REFERENCES (23)
New inventions: a pleural biopsy punch.
Lancet
(1958)- et al.
Metallic weakness and breakage of Abrams pleural biopsy needle [letter].
Chest
(1991) - et al.
Points to consider when choosing a biopsy method in cases of pleurisy of unknown origin.
Chest
(1983) - et al.
Ultrasonographic evaluation of pleural and chest wall invasion of lung cancer.
Chest
(1988) Ultrasound in the assessment of pleural densities.
Chest
(1983)- et al.
Ultrasonography of Pancoast tumor.
Chest
(1988) - et al.
Pleural biopsy in diagnosis of pleural effusion.
Lancet
(1958) New pleural biopsy needle: preliminary study.
JAMA
(1958)- et al.
Needle biopsy of the pleura in the diagnosis of pleural effusion: a report of 118 cases.
Q J Med
(1961) - et al.
Needle pleural biopsy: the pleura in health and disease.
Isolation of tubercle bacilli needle biopsy specimens of parietal pleura.
Am Rev Respir Dis
Cited by (103)
Ultrasound-guided pleural biopsy following a non-diagnostic thoracentesis for non-small cell lung cancer
2023, Respiratory Medicine Case ReportsThe role of an interventional pulmonologist in the management of metastatic pleural effusions (MPE)
2022, Revue des Maladies RespiratoiresPleural Interventions: Closed Pleural Biopsy
2021, Encyclopedia of Respiratory Medicine, Second EditionUltrasound-guided aspiration and biopsy procedures
2020, Small Animal Diagnostic UltrasoundPleural thickening and effusion in a traveller
2023, Challenging Cases in Pleural Diseases
Reprint requests: Dr. Chang, National Taiwan University Hospital, No. 1, Chang-Te Street, Taipei, Taiwan, Republic of China
Manuscript received December 14; revision accepted February 13.