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Abstract: Poster Presentations |

AN AUDIT OF THE USE OF ABRAMS PLEURAL BIOPSY IN THE DIAGNOSIS OF MESOTHELIOMA FREE TO VIEW

Jasdeep S. Khangura, MBBS*; Anne Snow; Desmond Murphy, MBChB
Author and Funding Information

Salisbury District Hospital, Salisbury, United Kingdom


Chest


Chest. 2009;136(4_MeetingAbstracts):48S. doi:10.1378/chest.136.4_MeetingAbstracts.48S-c
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Abstract

PURPOSE:  Abrams’ biopsy is not recommended by the British Thoracic Society statement (British Thoracic Society Standards of Care Committee. Statement on malignant mesothelioma in the UK. Thorax 2007; 62:1–19. November 2007) on mesothelioma. Our department performs Abrams’ pleural biopsy when investigating patients with pleural effusion and suspected mesothelioma. We have audited our use of these investigations.

METHODS:  Patient records were searched over the last seven years. On 80 occasions a diagnosis of mesothelioma was made. The ages ranged from 46 to 93 (mean 71). The male to female ratio was 7:1.

RESULTS:  Tissue diagnosis was achieved as follows: diagnostic pleural biopsy 35 (44%), CT [12] and ultrasound [2] -guided biopsy 14 (17.5%), thoracoscopy 21 (26%), open lung biopsy 3 (4%), and at post-mortem 7 (9%). There were no significant side-effects from our pleural procedures.

CONCLUSION:  We believe our practice reduces the frequency of the need for CT-guided biopsies.

CLINICAL IMPLICATIONS:  Abram's pleural biopsy provides our patients with a safe prompt investigation that reduces their exposure to radiation.

DISCLOSURE:  Jasdeep Khangura, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, November 3, 2009

12:45 PM - 2:00 PM


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