Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Chest Diseases and Tuberculosis

The diagnostic approach to pleural disease remains an underappreciated aspect of modern thoracic medicine, despite the fact that pleural disease affects approximately 300 subjects per 100 000 population per year worldwide. (Du rand, maskell; 2010), tissue biopsies required for diagnosis can be obtained by various methods; blind pleural biopsy, guided biopsy, medical thoracoscopic or surgical. Aim of the work, to compare the diagnostic efficiency, reliability, complications and advantages of Transthoracic ultrasound guided (TUS) pleural biopsies with that of medical Thoracoscopic pleural biopsies in patients with pleural diseases. The study was conducted in chest department, Kasr Elaini hospital, Cairo University, in collaboration with pathology department, Kasr Elaini hospital, Cairo University in the period from February 2013 to July 2014, It was carried on 71 patients, The patients included in the study were classified according to the procedure by which pleural biopsy taken into Group 1 (included 39 cases underwent Medical Thoracoscopic pleural biopsies alone), Group 2 included 10 cases underwent TUS pleural biopsies alone), Group 3 (included 22 cases underwent both pleurl biopsies

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