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Medical thoracoscopy with cryobiopsy as diagnostic tool for pleural metastatic in cutaneous squamous cell carcinoma: a rare case report.
Tanamas, Jimmy; Chionardes, Melissa Angela; Handoyo, Thomas; Kholis, Fathur Nur; Wibisono, Banteng Hanang; Suryanto, Agus; Tenda, Eric Daniel; Singh, Gurmeet; Pangarsa, Eko Adhi; Satoto, Bambang; Septarina, Faiza Rizky; Puspasari, Dik.
Afiliación
  • Tanamas J; Division of Respirology and Critical Care Medicine.
  • Chionardes MA; Departments of Internal Medicine.
  • Handoyo T; Division of Respirology and Critical Care Medicine.
  • Kholis FN; Division of Respirology and Critical Care Medicine.
  • Farida; Division of Respirology and Critical Care Medicine.
  • Wibisono BH; Division of Respirology and Critical Care Medicine.
  • Suryanto A; Division of Respirology and Critical Care Medicine.
  • Tenda ED; Division of Respirology and Critical Care Medicine, Department of Internal Medicine, Cipto Mangunkusumo National Reference Hospital, Faculty of Medicine, University of Indonesia, Kota Depok, Jawa Barat, Indonesia.
  • Singh G; Division of Respirology and Critical Care Medicine, Department of Internal Medicine, Cipto Mangunkusumo National Reference Hospital, Faculty of Medicine, University of Indonesia, Kota Depok, Jawa Barat, Indonesia.
  • Pangarsa EA; Division of Hematology and Medical Oncology, Department of Internal Medicine.
  • Satoto B; Radiology.
  • Septarina FR; Anatomical Pathology, Kariadi Hospital Medical Center, Faculty of Medicine, Diponegoro University, Kota Semarang, Jawa Tengah.
  • Puspasari D; Anatomical Pathology, Kariadi Hospital Medical Center, Faculty of Medicine, Diponegoro University, Kota Semarang, Jawa Tengah.
Ann Med Surg (Lond) ; 86(3): 1734-1738, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38463096
ABSTRACT

Introduction:

Distance metastasis of cutaneous squamous cell carcinoma (cSCC) to pleural is rarely reported, and meets difficulties in diagnosing due to quality of pleural biopsy sample. This case presented a novel technique by using cryobiopsy to obtain adequate sample and was first conducted in our hospital. Case presentation A 62-years-old man admitted to hospital with dyspnoea due to massive right pleural effusion. Lung multi-sliced computed tomography showed right lung pleural effusion with compression atelectasis as well as collapse of medial lobe and upper lobe, multiple solitary nodules on mediastinal, costal antero-posterior and right diaphragm pleural part. Medical thoracoscopy was performed to obtain pleural samples by using cryobiopsy and forceps biopsy. Pathological analysis with Immunohistochemistry (IHC) revealed metastatic squamous cell carcinoma.

Discussion:

Recurrence rate of cSCC remains high even after treatment, with worse prognosis. Distant metastasis to pleural is rarely reported. Clinical approach for malignant pleural effusion by using medical thoracoscopy has 80% sensitivity with minimal complication. Pleural cryobiopsy is a novel technique used for obtaining sample from pleural biopsy with significant larger size of the specimen, less crush artefacts, fragmented and better tissue integrity, although the diagnostic yield and bleeding severity between cryobiopsy and conventional forceps biopsy are not significant.

Conclusion:

Medical thoracoscopy with cryobiopsy should be considered as a preferrable diagnostic tool for obtaining better sample specimen, especially for pleural metastatic.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Med Surg (Lond) Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Med Surg (Lond) Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido