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Rodriguez-Panadero F. ¿Se debe realizar una biopsia pleural para el diagnóstico etiológico de los exudados? Sí. The case for performing pleural biopsies for the aetiological diagnosis of exudates. Yes. Rev Clin Esp (Barc). 2017;217(7):420-422doi: 10.1016/j.rce.2017.02.015.
Rodriguez-Panadero, F. (2017). ¿Se debe realizar una biopsia pleural para el diagnóstico etiológico de los exudados? Sí. The case for performing pleural biopsies for the aetiological diagnosis of exudates. Yes. Revista clinica espanola, 217(7), 420-422. https://doi.org/10.1016/j.rce.2017.02.015
Rodriguez-Panadero, F. "¿Se debe realizar una biopsia pleural para el diagnóstico etiológico de los exudados? Sí." The case for performing pleural biopsies for the aetiological diagnosis of exudates. Yes. Revista clinica espanola vol. 217,7 (2017): 420-422. doi: https://doi.org/10.1016/j.rce.2017.02.015
Rodriguez-Panadero F. ¿Se debe realizar una biopsia pleural para el diagnóstico etiológico de los exudados? Sí. The case for performing pleural biopsies for the aetiological diagnosis of exudates. Yes. Rev Clin Esp (Barc). 2017 Oct;217(7):420-422. doi: 10.1016/j.rce.2017.02.015. Epub 2017 Apr 12. Spanish. PMID: 28410823.
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Rev Clin Esp (Barc). 2017 Oct;217(7):420-422. doi: 10.1016/j.rce.2017.02.015. Epub 2017 Apr 12.

The case for performing pleural biopsies for the aetiological diagnosis of exudates. Yes.

Revista clinica espanola

[Article in Spanish]
F Rodriguez-Panadero

Affiliations

  1. Unidad Médico-Quirúrgica de Enfermedades Respiratorias (UMQER), Hospital Universitario Virgen del Rocío, Sevilla, España; Laboratorio de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla (IBiS), Sevilla, España. Electronic address: [email protected].

PMID: 28410823 DOI: 10.1016/j.rce.2017.02.015

Abstract

Pleural biopsies are especially indicated in the following circumstances: a) inconclusive pleural fluid analysis and negative sputum study, if adenosine deaminase (ADA) levels are unavailable; b) suspected multi-resistant tuberculosis; c) a need for differentiating tuberculous pleurisy (if it progresses with neutrophilia) and complicated parapneumonic effusion; d) malignant pleural effusion coexisting with very high ADA levels; e) effusion coexisting with lung cancer and negative pleural cytology; f) suspected mesothelioma; and g) need for implementing re-treatment for patients with relapse after chemotherapy. Image-guided needle biopsy is recommended for cases a and b, while thoracoscopy is preferable for the other cases.

Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Keywords: Biopsia pleural; Derrame pleural maligno; Malignant pleural effusion; Pleural biopsy; Pleuritis tuberculosa; Thoracoscopy; Toracoscopia; Tuberculous pleurisy

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