Biopsy of Lungs and Pleura in Hematologic Center

Background & Aims. Morphological, immunohistochemical, immunophenotypic, cytogenetic, molecular and genetic and other examinations of tissues affected by oncohematological diseases are obligatory. The aim of this paper is to evaluate findings of lung and pleura biopsies in different medical cond...

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Main Authors: SR Karagyulyan, KI Danishyan, VS Shavlokhov, MA Silaev, GM Galstyan, AV Tochenov, LA Kuz’mina, IV Efimov, SA Shutov, YuV Pliskunova, IA Shupletsova, AM Kovrigina
Format: Article
Language:Russian
Published: Practical Medicine Publishing House 2016-01-01
Series:Клиническая онкогематология
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Online Access:http://bloodjournal.ru/en/biopsy-of-lungs-and-pleura-in-hematologic-center/
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author SR Karagyulyan
KI Danishyan
VS Shavlokhov
MA Silaev
GM Galstyan
AV Tochenov
LA Kuz’mina
IV Efimov
SA Shutov
YuV Pliskunova
IA Shupletsova
AM Kovrigina
author_facet SR Karagyulyan
KI Danishyan
VS Shavlokhov
MA Silaev
GM Galstyan
AV Tochenov
LA Kuz’mina
IV Efimov
SA Shutov
YuV Pliskunova
IA Shupletsova
AM Kovrigina
author_sort SR Karagyulyan
collection DOAJ
description Background & Aims. Morphological, immunohistochemical, immunophenotypic, cytogenetic, molecular and genetic and other examinations of tissues affected by oncohematological diseases are obligatory. The aim of this paper is to evaluate findings of lung and pleura biopsies in different medical conditions using two basic techniques: thoracoscopy and diagnostic thoracotomy. Methods. Results of morphological examination of lung lesions in patients hospitalized in the Hematology Research Center under the Ministry of Health of the Russian Federation are presented. From 2004 till 2014, 76 biopsies of lung and/or parietal pleura were performed in 73 patients aged 19–77 years via thoracoscopic (48) and/or thoracotomic (28) approach. Results. No thoracoscopy- and thoracotomy-related complications were observed. Bioptate examinations proved to be informative in 66 (86.7%) patients. Lung lesions were most common in lymphoproliferative diseases. Lung involvement in cancer or metastases was twice as common as it has been expected before the biopsy. On the contrary, expected tuberculosis nature of lung lesions in 5 patients was confirmed only in 2 of them. In 18 cases (23.7 %), the cause of lung lesion was other than the expected one, and appropriate adjustments of the therapy were made. Conclusion. New less invasive methods of biopsy combined with complex laboratory diagnosing comply with current requirements and permit making a correct diagnosis of a pathological process located in lungs.
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issn 1997-6933
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publishDate 2016-01-01
publisher Practical Medicine Publishing House
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series Клиническая онкогематология
spelling doaj-art-19f6d7f199be4d8b9356449105cc2c692025-08-20T03:17:44ZrusPractical Medicine Publishing HouseКлиническая онкогематология1997-69332500-21392016-01-0191424710.21320/2500-2139-2016-9-1-42-47Biopsy of Lungs and Pleura in Hematologic CenterSR Karagyulyan0KI Danishyan1VS Shavlokhov2MA Silaev3GM Galstyan4AV Tochenov5LA Kuz’mina6IV Efimov7SA Shutov8YuV Pliskunova9IA Shupletsova10AM Kovrigina11Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Background & Aims. Morphological, immunohistochemical, immunophenotypic, cytogenetic, molecular and genetic and other examinations of tissues affected by oncohematological diseases are obligatory. The aim of this paper is to evaluate findings of lung and pleura biopsies in different medical conditions using two basic techniques: thoracoscopy and diagnostic thoracotomy. Methods. Results of morphological examination of lung lesions in patients hospitalized in the Hematology Research Center under the Ministry of Health of the Russian Federation are presented. From 2004 till 2014, 76 biopsies of lung and/or parietal pleura were performed in 73 patients aged 19–77 years via thoracoscopic (48) and/or thoracotomic (28) approach. Results. No thoracoscopy- and thoracotomy-related complications were observed. Bioptate examinations proved to be informative in 66 (86.7%) patients. Lung lesions were most common in lymphoproliferative diseases. Lung involvement in cancer or metastases was twice as common as it has been expected before the biopsy. On the contrary, expected tuberculosis nature of lung lesions in 5 patients was confirmed only in 2 of them. In 18 cases (23.7 %), the cause of lung lesion was other than the expected one, and appropriate adjustments of the therapy were made. Conclusion. New less invasive methods of biopsy combined with complex laboratory diagnosing comply with current requirements and permit making a correct diagnosis of a pathological process located in lungs.http://bloodjournal.ru/en/biopsy-of-lungs-and-pleura-in-hematologic-center/lung biopsythoracoscopylung lesionmorphological verificationacute respiratory insufficiency
spellingShingle SR Karagyulyan
KI Danishyan
VS Shavlokhov
MA Silaev
GM Galstyan
AV Tochenov
LA Kuz’mina
IV Efimov
SA Shutov
YuV Pliskunova
IA Shupletsova
AM Kovrigina
Biopsy of Lungs and Pleura in Hematologic Center
Клиническая онкогематология
lung biopsy
thoracoscopy
lung lesion
morphological verification
acute respiratory insufficiency
title Biopsy of Lungs and Pleura in Hematologic Center
title_full Biopsy of Lungs and Pleura in Hematologic Center
title_fullStr Biopsy of Lungs and Pleura in Hematologic Center
title_full_unstemmed Biopsy of Lungs and Pleura in Hematologic Center
title_short Biopsy of Lungs and Pleura in Hematologic Center
title_sort biopsy of lungs and pleura in hematologic center
topic lung biopsy
thoracoscopy
lung lesion
morphological verification
acute respiratory insufficiency
url http://bloodjournal.ru/en/biopsy-of-lungs-and-pleura-in-hematologic-center/
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AT kidanishyan biopsyoflungsandpleurainhematologiccenter
AT vsshavlokhov biopsyoflungsandpleurainhematologiccenter
AT masilaev biopsyoflungsandpleurainhematologiccenter
AT gmgalstyan biopsyoflungsandpleurainhematologiccenter
AT avtochenov biopsyoflungsandpleurainhematologiccenter
AT lakuzmina biopsyoflungsandpleurainhematologiccenter
AT ivefimov biopsyoflungsandpleurainhematologiccenter
AT sashutov biopsyoflungsandpleurainhematologiccenter
AT yuvpliskunova biopsyoflungsandpleurainhematologiccenter
AT iashupletsova biopsyoflungsandpleurainhematologiccenter
AT amkovrigina biopsyoflungsandpleurainhematologiccenter