الفهرس 
Introduction and Aim of the WorkOnly 14 pages are availabe for public view
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Abstract
This study was conducted in Abbassia chest hospital on
20 patients with malignant pleural mesothelioma after
confirmation with thoracoscopic tissue biopsy.
The enrolled patients were subjected to:
Medical thoracoscopy :
-which was performed under local anaesthesia (single port
of entry technique).
-All apparently abnormal (suspicious) areas seen were
biopsied for histopathological examination.
Re-reading of CT scan of the chest after confirmation of
MPM with tissue biopsy.
from the present study, the following results were
obtained:
Out of 20 cases with MPM, 12 patients were males
representing (60%) and 8 were females representing (40%),
with mean age 46.3 ±7.43.
About 14 of the patients presented with massive pleural
effusion, and 6 patients presented with moderate pleural
effusion. Cytological examination was positive for malignant cells in
2 patients representing 10% of the cases and negative in 18
patients representing 90% of the patients.
CT chest was able to detect costal pleural thickening in
87.5% of the cases detected by thoracoscopy, costal pleural
nodules seen by CT only in 4 cases out of 20 seen by
medical thoracoscopy.
Visceral pleural invasion was not detected by CT chest, but
medical thoracoscopy detect visceral pleural nodules in 13
cases.
In diaphragmatic pleural assessment medical thoracoscopy
was superior to CT scan, as thoracoscopy detect
diaphragmatic pleural nodules in 13 cases which were not
detected by CT at all.
According to CT findings which are suggestive of
malignancy(circumferential pleural thickening, nodular
pleural thickening, parietal pleural thickening more than
1cm and mediastinal pleural involvement) CT was able to
predict malignancy in 70% of the cases.
CT chest detected fibrous septation only in 1 case out of 3
detected by medical thoracoscopy.