A toddler with a cough and wheeze refractory to treatment
Cryotherapy has multiple uses in adult pulmonology including removal of foreign bodies and transbronchial biopsy to diagnose granulomatous disease, infection, interstitial lung disease, lung cancer and post-transplant rejection. After a multidisciplinary discussion including an adult respiratory phy...
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Published in | Thorax Vol. 72; no. 10; pp. 953 - 955 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
England
BMJ Publishing Group LTD
01.10.2017
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Subjects | |
Online Access | Get full text |
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Summary: | Cryotherapy has multiple uses in adult pulmonology including removal of foreign bodies and transbronchial biopsy to diagnose granulomatous disease, infection, interstitial lung disease, lung cancer and post-transplant rejection. After a multidisciplinary discussion including an adult respiratory physician specialising in EBUS, a paediatric general surgeon and an anatomical pathologist, it was decided that although EBUS TBNA would be feasible, a needle aspirate might not provide a sample sufficient for diagnosis if the mass was due to a lymphoma such as Hodgkin's lymphoma which has a non-uniform population of tumour cells, and hence may be missed on an aspirate. [...]the patient was referred for a thoracoscopic biopsy. [...]in TST-positive cases, without risk factors for TB, who are clinically stable, withholding TB treatment while awaiting microbiological confirmation of the causative organism can be considered. |
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Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
ISSN: | 0040-6376 1468-3296 |
DOI: | 10.1136/thoraxjnl-2016-209915 |