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International Journal of Respiratory Medicine
|
Volume 3
LUNG CANCER AND COPD
5
th
International Congress on
J u n e 2 5 - 2 6 , 2 0 1 8 | A m s t e r d a m , N e t h e r l a n d s
Varuna Jethani et al., Int J Respir Med 2018, Volume 3
EFFICACY OF PLEURAL BRUSH
CYTOLOGY IN DIAGNOSIS OF PLEURAL
DISEASES
Varuna Jethani, Girish Sindhwani, Rakhee
Khanduri, Sanjeev Kumar
and
Smita Chandra
Himalayan Institute of Medical Science, India
Introduction:
Medical thoracoscopy has an established role in the achieving
etiology of pleural effusion. Thoracoscopic guided pleural biopsy though
provides good yield but is limited by a delay of three to five days. We, in this
study, used pleural brushings obtained by using bronchoscopy brush through
the working channel of rigid thoracoscopy. The hypothesis was that cytology
gives earlier results and if the results of cytology are concordant with pleural
biopsy, it may help early institution of therapy.
Aims & Objectives:
The aim of this study is to access feasibility of brush
smear from parietal pleura during thoracoscopy and to study efficacy of
pleural brushing by comparing its cytology with pleural biopsy.
Material & Methods:
All consecutive patients of undiagnosed pleural effusion
by routine investigations of pleural fluid, who were subjected to medical
thoracoscopy during the period between Dec2015 to June 2017 were included
in the study. After informed consent, brush smears and pleural biopsies were
obtained from the suspected sites of parietal pleura during thoracoscopy.
The results of cytology of brush smears were assessed and compared with
results of pleural biopsy.
Results:
45 patients were recruited during the study period of 1.5 years, mean
age was 59.68 years. Nodule was the most common finding on thoracoscopic
examination. Brush cytology report when compared to that of pleural biopsy
the concordance was seen in 80%, which is highly significant. Detail study will
be presented
Varuna Jethani has done her post-graduation in
pulmonary medicine from Swami Rama Hima-
layan University, Jollygrant Dehradun. Now She
is working as Assistant Professor in pulmonary
medicine department in same university. She
has 10 publications in reputed journals. She is
editorial board member of EC pulmonary and
Respiratory Medicine .
Varuna1212@rediffmail.comBIOGRAPHY