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Pleural and Mediastinal Malignancies最新文献

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Water and urea transport in benign and malignant pleural mesothelial cells. 良性和恶性胸膜间皮细胞中水和尿素的转运。
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2864
E. Solenov, A. Ershov, G. Baturina, L. E. Katkova, C. Hatzoglou, K. Gourgoulianis, S. Zarogiannis
{"title":"Water and urea transport in benign and malignant pleural mesothelial cells.","authors":"E. Solenov, A. Ershov, G. Baturina, L. E. Katkova, C. Hatzoglou, K. Gourgoulianis, S. Zarogiannis","doi":"10.1183/13993003.CONGRESS-2018.PA2864","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA2864","url":null,"abstract":"","PeriodicalId":20113,"journal":{"name":"Pleural and Mediastinal Malignancies","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75344429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
US guided true cut needle biopsy in patients with malignant mesothelioma 恶性间皮瘤患者的超声引导真穿刺活检
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa2887
Rosen Petkov, T. Mihalova, Y. Yamakova, G. Yankov
{"title":"US guided true cut needle biopsy in patients with malignant mesothelioma","authors":"Rosen Petkov, T. Mihalova, Y. Yamakova, G. Yankov","doi":"10.1183/13993003.congress-2018.pa2887","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa2887","url":null,"abstract":"","PeriodicalId":20113,"journal":{"name":"Pleural and Mediastinal Malignancies","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82285041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differences in the pathological patterns of non-specific pleuritis (NSP). 非特异性胸膜炎病理模式的差异。
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa2871
G. Karpathiou, Sirine Hathroubi, A. Patoir, O. Tiffet, F. Casteillo, C. Brun, Fabien Forest, N. Rahman, M. Péoc'h, M. Froudarakis
{"title":"Differences in the pathological patterns of non-specific pleuritis (NSP).","authors":"G. Karpathiou, Sirine Hathroubi, A. Patoir, O. Tiffet, F. Casteillo, C. Brun, Fabien Forest, N. Rahman, M. Péoc'h, M. Froudarakis","doi":"10.1183/13993003.congress-2018.pa2871","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa2871","url":null,"abstract":"","PeriodicalId":20113,"journal":{"name":"Pleural and Mediastinal Malignancies","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85241044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The use of immunocytochemistry to diagnose the etiology of malignant pleural effusion. 应用免疫细胞化学诊断恶性胸腔积液的病因。
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa2869
V. Klimenko, A. Reshetov, V. Novik, O. Ivanov, Dmitry Ermakov
The appearance of malignant pleural effusion (PE) is often the first and only symptom of a malignant tumor (MT). In these conditions, the morphological verification of cancer is important for the planning of systemic antitumor treatment. Aims and Objectives: to determine the potential of immunocytochemical methods in the differential diagnosis of malignant PE. Methods: during the period from 2012 to 2017, we observed 234 patients with malignant PE and MT with unknown primary tumor site. All patients underwent a cytomorphological examination of the PE during the diagnosis. 81 patients in thoracic surgery depatment underwent videothorascopy (VTS) with biopsy of the parietal pleura. 93 patients (54 - outpatients) underwent transthoracic needle biopsy of the parietal pleura. On 60 patients (55 - outpatients), an immunocytochemical study of PE was performed. The sensitivity, specificity of the diagnosis in the groups and also its accuracy were assessed. Results: cytomorphological examination of PE was not sufficiently effective. Triplicate cytologic examination detected tumor cells in 76% of cases. Only 16% were able to determine the primary site of the MT. The most effective method was VTS with pleural biopsy: sensitivity 98%, specificity 99%, accuracy 99%. Transthoracic biopsy of the pleura using the Abrams needle showed significantly less diagnostic value: sensitivity 68%, specificity 73%, accuracy 70%. The immunocytochemical method was not inferior to VTS in detecting the primary tumor site: 95% sensitivity, specificity 99,6%, accuracy 95%. Conclusion: an immunocytochemical study is a reliable tool in the diagnosis of malignant PE, and can be succcessfully used in outpatient settings.
恶性胸腔积液(PE)的出现往往是恶性肿瘤(MT)的第一个和唯一的症状。在这些情况下,肿瘤的形态验证对于计划全身抗肿瘤治疗是重要的。目的和目的:确定免疫细胞化学方法在恶性PE鉴别诊断中的潜力。方法:2012 - 2017年对234例原发部位不明的恶性PE、MT患者进行回顾性分析。所有患者在诊断期间均接受了PE的细胞形态学检查。81例胸外科患者行胸腔镜胸膜壁活检。93例患者(54例门诊患者)行胸膜壁穿刺活检。对60例患者(55例门诊患者)进行PE免疫细胞化学研究。评估各组诊断的敏感性、特异性及准确性。结果:PE细胞形态学检查效果不明显。三次细胞学检查在76%的病例中检出肿瘤细胞。只有16%的人能够确定MT的原发部位。最有效的方法是胸膜活检的VTS:敏感性98%,特异性99%,准确性99%。经胸胸膜活检使用艾布拉姆斯针的诊断价值明显较低:敏感性68%,特异性73%,准确性70%。免疫细胞化学法检测原发肿瘤部位的灵敏度为95%,特异性为99.6%,准确率为95%,不低于VTS。结论:免疫细胞化学研究是诊断恶性PE的可靠工具,可成功用于门诊。
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引用次数: 0
Single-center prospective study on clinical evolution of non-specific pleuritis 非特异性胸膜炎临床演变的单中心前瞻性研究
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2877
F. Mei, M. Bonifazi, L. Zuccatosta, F. Barbisan, Michele Sediari, S. Gasparini
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引用次数: 0
The patient perspective of treatment for Malignant Pleural Effusion (MPE)- results of a pilot service-evaluation questionnaire. 恶性胸腔积液(MPE)治疗的患者视角——一项试点服务评估问卷的结果。
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2882
J. Seymour, I. Psallidas, M. Dobson, N. Rahman
Background: Patients with Malignant Pleural Effusions are offered both inpatient (talc pleurodesis) and outpatient (Indwelling Pleural Catheter (IPC)) treatment options as palliative therapeutic relief. There is a paucity of data regarding the patient experience of either of these treatments. Aim: To evaluate patient satisfaction with both inpatient and outpatient treatment options for MPE. Results: Patients treated with talc pleurodesis (n=18) had an extended inpatient hospital stay (> 3 days) following their procedure. The majority of IPC patients were discharged the same day (n=7/8)). There was a clear preference in the talc pleurodesis group for inpatient treatment, with over half reporting that they would not consider IPC management. Four-fifths of those surveyed believed outpatient management would have either no effect or a negative effect on their quality of life (n=12, 80.0%). Patients who had the IPC reported generally positive outcomes, with the majority experiencing no discomfort and 87.5% of participants rated the overall experience as positive. All but one of the IPC patients surveyed were receiving support at home with their IPC from a domiciliary nurse (n=7, 87.5%) Conclusion: Talc pleurodesis patients report longer inpatient stays than IPC patients, however most would not consider a switch to outpatient management beneficial. The majority of surveyed IPC patients receive assistance at home from a health professional and report positive outcomes. Our results suggest the importance of collecting patients’ experience information for improving MPE management.
背景:恶性胸腔积液患者提供住院(滑石粉胸膜截留)和门诊(留置胸膜导管(IPC))治疗方案作为姑息性治疗缓解。关于这两种治疗方法的患者体验的数据缺乏。目的:评价患者对MPE住院和门诊治疗方案的满意度。结果:接受滑石粉胸膜穿心术治疗的患者(n=18)在手术后住院时间延长(> 3天)。大多数IPC患者当天出院(n=7/8)。滑石粉胸膜穿刺术组明显倾向于住院治疗,超过一半的人报告说他们不会考虑IPC管理。五分之四的受访者认为门诊管理对他们的生活质量没有影响或有负面影响(n=12, 80.0%)。IPC患者报告的总体结果是积极的,大多数患者没有感到不适,87.5%的参与者认为总体体验是积极的。除1名IPC患者外,所有接受调查的IPC患者在家中接受住家护士的支持(n= 7,87.5%)。结论:滑石粉胸膜固定术患者报告住院时间比IPC患者长,但大多数患者不认为转向门诊管理有益。大多数接受调查的IPC患者在家中得到卫生专业人员的帮助,并报告了积极的结果。我们的研究结果提示收集患者经验信息对改善MPE管理的重要性。
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引用次数: 0
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Pleural and Mediastinal Malignancies
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