Author of

• 25925

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  P1.05 - Interventional Diagnostics/Pulmonology (Not CME Accredited Session) (ID 937)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/24/2018, 16:45 - 18:00, Exhibit Hall

  • 26488

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    P1.05-13 - The Demonstration of the Possibility of the Pleura Cryo Biopsy – A Preliminary Report (ID 12086)

    16:45 - 18:00  |  Author(s): Małgorzata Wojtyś
    • Abstract
    • Slides

    Background
    

    The demonstration of the possibility of diagnosing changes located in the parietal pleura by means of cryo probe guided by videopleuroscopy.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    The study consisted of five patients with lesions of the parietal pleura and accumulation of fluid in the pleural space suspected of neoplastic disease. The previous diagnostic procedures did not confirm the etiology of the hydrothorax, therefore, the patients were qualified for the videopleuroscopy under local anesthesia and sedation. The ultrasound examination confirmed the presence of the pleural fluid and videotrocar was introduced into the pleural cavity. The videopleuroscope was inserted into the pleural cavity, the fluid was removed and the parietal lesions were visualised. The 1,9 mm cryo probe was introduced through the 2 mm working channel of the videopleuroscope and samples of the parietal pleura were taken. The sampling procedure was repeated with standard forceps. Talc slurry administration and drainage of the pleural cavity were performed eventually. All the patient were discharged a few days after the procedure.

    4c3880bb027f159e801041b1021e88e8 Result
    

    Mesothelioma was confirmed in one case, primary lung adenocarcinoma in one case, metastatic adenocarcinoma in one case, Ewing sarcoma in one case and chronic pleuritis in one case. Histology samples taken with the cryo probe were much bigger and of better quality than the samples taken by the forceps.

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    The cryo probe guided by the videopleuroscopy is an effective and safe procedure regarding diagnosing pleural lesions suspected of the neoplastic disease. The cryo probe provides very good samples of the parietal pleura for the pathologic and immunohistochemistry evaluation

    6f8b794f3246b0c1e1780bb4d4d5dc53

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