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LETTER TO EDITOR
Year : 2011  |  Volume : 28  |  Issue : 4  |  Page : 322  

Closed needle pleural biopsy: A victim of western advancement?


Department of Pulmonary Medicine, Government Medical College and Hospital, Chandigarh, India

Date of Web Publication7-Oct-2011

Correspondence Address:
Naveen Dutt
Department of Pulmonary Medicine, Government Medical College and Hospital, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.85750

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How to cite this article:
Dutt N, Aggarwal D. Closed needle pleural biopsy: A victim of western advancement?. Lung India 2011;28:322

How to cite this URL:
Dutt N, Aggarwal D. Closed needle pleural biopsy: A victim of western advancement?. Lung India [serial online] 2011 [cited 2019 Nov 22];28:322. Available from: http://www.lungindia.com/text.asp?2011/28/4/322/85750

Sir,

Hira and Ranjan reaffirmed the importance of closed needle pleural biopsy in the diagnosis of pleural pathology. [1] With the emergence of thoracoscopy, the use of closed lung biopsy has declined significantly, especially in the developed world. Some western councils even no longer require competence in performing the lung biopsy by pulmonary and critical care fellows for their accreditation. [2] No doubt thoracoscopy has shown better results in the diagnosis of pleural malignancy, but the role of pleural biopsy in the diagnosis of tubercular pleural effusion, which is a much greater problem in India, is as good as thoracoscopy. [3] It is highly relevant in our resource-limited, tuberculosis prevalent country where thoracoscopy and CT-guided FNAC are available only in major hospitals of big cities. Discouragement of closed pleural biopsy by western literature unfortunately translated into its decline in India too. We need to redeem the practice and art of closed pleural biopsy among Indian pulmonologists through proper awareness and encouragement.

 
   References Top

1.Hira HS, Ranjan R. Role of percutaneous closed needle pleural biopsy among patients of undiagnosed exudative pleural effusion. Lung India 2011;28:101.  Back to cited text no. 1
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2.Accreditation Council for Graduate Medical Education. Internal medicine program requirements. Available from: http://www.acgme.org/acWebsite/downloads/RRC_progReq/149pr707_ims.pdf. [Last accessed on 2011 May 13].  Back to cited text no. 2
    
3.Baumann MH. Closed needle biopsy of the pleura is a valuable diagnostic procedure: Pro closed needle biopsy. J Bronchology Interv Pulmonol 1998;5:327.  Back to cited text no. 3
    




 

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