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January 1965

Needle Biopsy of Parietal Pleura in 1 24 Cases

Author Affiliations


From the Departments of Medicine and Pathology, Baylor University College of Medicine, The Medical Service and the Pulmonary Disease Section of the Medical Service, Jefferson Davis Hospital. Fellow in Pulmonary Diseases (Dr. Rao) and Clinical Associate Professor of Medicine (Dr. Jones), Department of Medicine, Assistant Professor of Pathology, Department of Pathology (Dr. Greenberg), and Assistant Professor of Medicine, Department of Medicine (Dr. Bahar), Baylor University College of Medicine; former Resident in Medicine, Jefferson Davis Hospital (Dr. Daysog); Assistant Professor of Medicine, Department of Medicine (Dr. Schweppe), and Professor of Medicine and Chief, Section of Pulmonary Diseases, Department of Medicine (Dr. Jenkins), Baylor University College of Medicine.

Arch Intern Med. 1965;115(1):34-41. doi:10.1001/archinte.1965.03860130036006

Introduction  NEEDLE biopsy of the parietal pleura received little attention until 1955, when DeFrancis et al1 described a technique in which a Vim-Silverman needle was used to establish a tissue diagnosis of tuberculosis in two of six patients with pleural effusion. Subsequently, pleural needle biopsy has been employed with increasing frequency as a diagnostic aid in the study of patients with pleural effusion. The apparent simplicity and safety of the procedure without morbidity or discomfort to the patient prompted us to pursue its routine use at the time of thoracentesis. This paper is an account of that experience in 124 patients with pleural effusion.

Review of Literature  Various needles of different design have been used for biopsy of the parietal pleura.These have included the (1) Vim-Silverman,1 (2) Franseen,2 (3) Abrams (Harefield),3 (4) Cope,4 (5) Kerrison Rongeur,5 and (6) Carpenter.6 In the United