ROLE OF PLEURAL BIOPSY IN DIFFERENTIAL DIAGNOSIS OF EXUDATE PLEURAL EFFUSION

DR GORE B P; DR PATEL RISHI DEVILAL

Volume : III, Issue : V, May - 2014

ROLE OF PLEURAL BIOPSY IN DIFFERENTIAL DIAGNOSIS OF EXUDATE PLEURAL EFFUSION

Dr Gore B P, Dr Patel Rishi Devilal

Abstract :

INTRODUCTION-OXIDATIVE pleural effusion [PE] in previously healthy patient has posed a diagnostic problem; the general opinion is that 70-80% of such PE represents pleural manifestation of tuberculosis .However multiplicity of etiology accounts for 20-30%. A bed side procedure that would quickly give diagnosis and at the same time not endanger the patient is anyway would be helpful for correct diagnosis is pleural biopsy. AIMS AND OBJECTIVE- 1] To study pattern of clinical presentation in case of PE due to DIFFERENT DISEASES. 2] To evaluate the importance of biochemical, cytology, and pleural biopsy in arriving diagnosis. 3] Comparison between role of routine pleural fluid analysis or biopsy alone or combination of both in diagnosis of PE. MATERIAL AND METHODS-we studied 60 patient of exudative pleural effusion of age 15 to 65 yrs with Aams needle of pleural biopsy. CONCLUSION-Tuberculosis is the commonest cause of PE followed by malignancy and post pneumonic. Fever, chest pain, dysponea, and dry cough are the commonest combination of symptoms. Combination of procedure of needle biopsy with cytology of pleural fluid increases diagnostic yield in both tuberculosis and malignancy and should be routine.