Clinical Evaluation of Exudative Pleural Effusion.
10.12701/yujm.1989.6.1.69
- Author:
Kyeong Soon KWON
;
Chang Heon YANG
;
Kwan Ho LEE
;
Yeung Hyun LEE
;
Jae Chun CHUNG
;
Hyun Woo LEE
- Publication Type:Original Article
- MeSH:
Biopsy;
Follow-Up Studies;
Glucose;
Granuloma;
Humans;
Hydrogen-Ion Concentration;
Incidence;
Pleural Effusion*;
Pleural Effusion, Malignant;
Tuberculosis
- From:Yeungnam University Journal of Medicine
1989;6(1):69-80
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
From December 1987 to September 1988, clinical evaluation were performed at the Yeungnam University Hospital on 138 patients with exudative pleural effusion comparing with biochemical, bacteriologic, cytologic and pathologic studies. The results were as follows 1. Among these 138 cases, Incidence of tuberculosis was 57.3%, neoplasm 26.8%. High tendency in malignant pleural effusion occurred in elder age. 2. In tuberculosis pleural effusion, the rate of positive smear and culture for acid-fast bacilli in the pleural fluid was 3.7% and positive biopsy for granuloma 75%. 3. In malignant pleural effusion, the rate of positive cytology for cancer cell in the fluid was 42% and positive biopsy 60%. 4. Analysis in tuberculosis and malignancy showed the tendency of high pH, WBC, protein and of low glucose, but there were clinically not significant in differentiating malignant pleural effusion from tuberculous pleural effusion. 5. Among 23 cases in which the pleural tissue findings were chronic nonspecific reaction pathologically, tuberculosis (52.2%), malignancy (26%), and idiopathic (21.8%) eventually in follow up studies.
