Pleural Biopsy as an AId in the Etiologic Diagnosis of Pleural Effusion: Review of the Literature and Report of 132 Biopsies

Article1 February 1958PLEURAL BIOPSY AS AN AID IN THE ETIOLOGIC DIAGNOSIS OF PLEURAL EFFUSION: REVIEW OF THE LITERATURE AND REPORT OF 132 BIOPSIESROBERT F. DONOHOE, M.D., SOL KATZ, M.D., F.A.C.P., MARY J. MATTHEWS, M.D.ROBERT F. DONOHOE, M.D.Search for more papers by this author, SOL KATZ, M.D., F.A.C.P.Search for more papers by this author, MARY J. MATTHEWS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-2-344 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThe inability of the physician to establish rapidly and accurately the etiology of pleurisy with effusion has been recognized for many years. As a result of experience, based mainly on observation, coupled with a statistical analysis of the results of the more commonly accepted diagnostic technics, certain adages and rules of thumb have become axiomatic. In general, these assumptions have withstood years of bombardment in from 70 to 80% of the cases, but the application of these principles to the remaining 20 to 30% has occasionally been associated with increases in morbidity and mortality. Recently, with the introduction of...Bibliography1. Lloyd MS: Thoracoscopy and biopsy in diagnosis of pleurisy with effusion, Quart. Bull., Sea View Hosp. 14: 128, 1953. MedlineGoogle Scholar2. SutliffHughesRice WDFML: Pleural biopsy, Dis. of Chest 26: 551, 1954. CrossrefMedlineGoogle Scholar3. SmallLandman MJM: Etiological diagnosis of pleural effusion by pleural biopsy, J. A. M. A. 158: 907, 1955. CrossrefMedlineGoogle Scholar4. SteadEichenholzStauss WWAHK: Operative and pathologic findings in twenty-four patients with syndrome of idiopathic pleurisy with effusion, presumably tuberculous, Am. Rev. Tuberc. 71: 473, 1955. MedlineGoogle Scholar5. DeFrancisKloskAlbano NEE: Needle biopsy of parietal pleura; preliminary report, New England J. 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KatzDonohoeMatthews SRFMJ: Needle aspiration biopsy of the pleura in the diagnosis of pleural effusion, Presented at the 15th Veterans Administration Army Navy Conference on the Chemotherapy of Tuberculosis, St. Louis, Missouri, February 6-9, 1956. Google Scholar12. KlassenAnylanCurtis KPAJG: Biopsy of acute pulmonary lesions, Arch. Surg. 59: 694, 1949. CrossrefMedlineGoogle Scholar13. TinneyOlsen WSAM: The significance of fluid in the pleural space, J. Thoracic Surg. 14: 248, 1945. CrossrefGoogle Scholar14. EngelhardtWilson HTJL: Some observations in the etiological significance of fluid in the pleural spaces, South. M. J. 40: 1023, 1947. CrossrefMedlineGoogle Scholar15. LeuallenCarr ECDT: Pleural effusion; statistical study of 436 patients, New England J. Med. 252: 79, 1955. CrossrefMedlineGoogle Scholar16. RoperWaring WHJJ: Primary serofibrinous pleural effusion in military personnel, Am. Rev. Tuberc. 71: 616, 1955. MedlineGoogle Scholar17. FalkStead AWW: U. S. Veterans Administration, Armed Forces Cooperative Studies of Tuberculosis. V. Antimicrobial therapy in the treatment of primary tuberculous pleurisy with effusion: its effect upon the incidence of subsequent tuberculous relapse, Am. Rev. Tuberc. 74: 897, 1956. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Washington, D. C.*Received for publication May 4, 1957.From the Pulmonary Disease Division, the Department of Laboratories and the Georgetown and George Washington Medical Services of District of Columbia General Hospital, Washington, D. C.Requests for reprints should be addressed to Robert F. Donohoe, M.D., Pulmonary Disease Division, District of Columbia General Hospital, Washington 3, D. C.†Resident Fellow of American Trudeau Society (Medical Section of the National Tuberculosis Association). 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