Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
+44 1300 500008
ISSN: 2155-9880
+44 1300 500008
Hamdy Dosoky Elayouty
AcceptedAbstracts: J Clin Exp Cardiolog
Aprospective study, including 112 patients, designed to estimate the sensitivity and specificity of slide-touch and pleural lavage cytology for diagnosis of pleural micrometastases in operable non-small cell lung cancer (NSCLC). Histopathologically, excised tumors showed P0 in 22 patients (19%), P1 in 44 patients (39%), P2 in 32 patients (29%), P3 in 14 patients (13%). Cytological examination of the three slide touch prints from visceral pleura overlying the tumor (slide 1), parietal pleura facing tumor (slide 2), parietal pleura in paravertebral gutter (slide 3) resulted in: slide 1: positive in 60% (66y112) wthis included p0 (2 out of 22), p1 (22 out of 44), p2 (32 out of 32) and p3 (10 out of 14)x, slide 2: positive in 13% (14y112); all of them had P3, and slide 3 positive in 8% (9y112). Total positive slides 62% (70y112). Pleural lavage: positive in 19% (22y112), all of them were detected with slide 1 andyor slide 2. During follow-up, patients with negative slides had no local or distant metastases (truly negative), six recurrences among those with positive slide 1, including four with positive lavage. Thus, slide touch print is more sensitive than lavage cytology, both of prognostic significance. Slide 1 is a highly sensitive detector of visceral pleural micro-metastases; slide 2 is a more sensitive detector of parietal pleural invasion; slide 3 is the least
Hamdy Dosoky Elayouty was graduated in 1982 from Faculty of Medicine Ain Shams University. He got the Doctorate in Cardiothoracic Surgery in 2001. From 1998 to 2001 he was in New England Medical Center-Boston USA with Prof. Daly B. In 1997, he got the FRCs (P1) London. Now he is working in Suez Canal University as Assistant Professor of cardiothoracic Surgery.