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Ultrasound guided pleural biopsy

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By Jason Mann No BS pulmonary critical care fellow
Coenraad F N Koegelenberg, Andreas H Diacon
The most efficient and cost-effective approach to the diagnosis of pleural exudates remains controversial. Important considerations include the respective diagnostic yields of thoracocentesis, closed pleural biopsy and thoracoscopy; the incremental gain in diagnostic yield when sequentially combining these investigations; and the role of various image modalities. The diagnostic yield of thoracocentesis is in the order of 60% for malignancy and >90% for tuberculosis. A second aspiration may increase the yield for malignancy, but a third is generally superfluous...
July 2011: Respirology: Official Journal of the Asian Pacific Society of Respirology
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