Abstract Elsewhere in this journal (p 346), Drs. Howatt, Heidelberger, LeGlovan, and Schnitzer report the successful use of open-lung biopsy in an infant to establish the diagnosis of desquamative interstitial pneumonitis (DIP). The biopsy was well-tolerated and permitted the initiation of appropriate therapy. However, in recent years a variety of additional pulmonary diagnostic procedures have been described that are frequently practical alternatives to open-lung biopsy. These include mediastinoscopy, percutaneous parietal pleural biopsy, percutaneous lung puncture with aspiration, lung biopsy with specially designed cutting needles introduced through the chest wall, lung biopsy with the use of small forceps passed through the rigid bronchoscope, and lung biopsy with small brushes inserted into the lung parenchyma through the nose or mouth. In addition, the development of the flexible fiberoptic bronchoscope has led to the wider application of a number of bronchoscopic procedures. Their proponents claim they can frequently give the physician the same information References 1. Toyama WM, et al: Open lung biopsy in infants and children . Arch Surg 103:195-198, 1971.Crossref 2. Aaron BL: Open lung biopsy: A strong stand . Chest 59:18-22, 1971.Crossref 3. Tucker JA, Gartner W: Mediastinoscopy with special reference to the diagnosis of sarcoid . Ann Otol Rhinol Laryngol 79:937-944, 1970. 4. Finland M: Diagnostic lung puncture . Pediatrics 44:471-473, 1969. 5. Hughes JR: Lung tap in childhood . Pediatrics 44:477-485, 1969. 6. Klein JO: Diagnostic lung puncture in the pneumonias of infants and children . Pediatrics 44:486-492, 1969. 7. Schuster AC, et al: Lung aspirate puncture as a diagnostic aid in pulmonary tuberculosis in childhood . Pediatrics 42:647-650, 1968. 8. Nordenstrom B: Transthoracic needle biopsy . N Engl J Med 276:1081-1082, 1967.Crossref 9. Zavala DC, Bedell GN: Percutaneous lung biopsy with a cutting needle . Am Rev Respir Dis 106:186-193, 1972. 10. Neff TA: Percutaneous trephine biopsy of the lung . Chest 61:18-23, 1972.Crossref 11. Anderson HA: Lung biopsy via the bronchoscope . Ann Otol Rhinol Laryngol 79:933-936, 1970. 12. Fennessy JJ: Bronchial brushing . Ann Otol Rhinol Laryngol 79:924-932, 1970. 13. Zavala DC, et al: Bronchial brush biopsy . Ann Thorac Surg 13:519-529, 1972.Crossref 14. Repsher LH, Schröter G, Hammond WS: Diagnosis of pneumocystic carinii pneumonitis by means of endobronchial brush biopsy . N Engl J Med 287:340-341, 1972.Crossref 15. Ikeda S: Flexible bronchofiberscope . Ann Otol Rhinol Laryngol 79:916-933, 1970. 16. Renz LE, Smiddy JW, Rauscher CR: Bronchoscopy in respiratory failure . JAMA 219:619, 1972.Crossref 17. Kettel LJ, Cugell DW: Pleural biopsy . JAMA 200:317-320, 1967.Crossref
American Journal of Diseases of Children – American Medical Association
Published: Sep 1, 1973
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