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HAROLD LEVINE, M.D.; DAVID W. CUGELL, M.D.

Arch Intern Med. 1962;109(5):516-525.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The frequent involvement of parietal pleura in thoracic diseases has been confirmed by numerous studies of pleural tissue obtained at postmortem examination, surgery, thoracoscopy, and needle biopsy.¹ Efforts to secure pleural tissue by needle aspiration, particularly in patients with an effusion, have been reported many times but with highly variable conclusions regarding the diagnostic value of the procedure. In this country the Vim-Silverman or endbiting type of biopsy instrument generally has been used.² With this needle, an "insufficient specimen" was obtained in from 10% to 40% of the patients studied.^1,3-7 Misra and Sharma were able to obtain pleural tissue with every attempt, but in an unspecified number repeat biopsy was necessary to obtain a specimen adequate for study.⁸ At our institution efforts to secure pleural specimens with the Vim-Silverman needle failed so frequently that the procedure was abandoned.

Dr. Constantin Cope devised a new instrument^* to . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From Northwestern University Medical School, Department of Medicine, and Chest Service, Cook County Hospital, Chicago.; Instructor in Medicine, Northwestern University Medical School, Research Fellow, American Thoracic Society (Dr. Levine); Associate Professor of Medicine, Northwestern University Medical School, Edward Livingston Trudeau-Potts Memorial Fellow, American Thoracic Society (Dr. Cugell).

Footnotes
Submitted for publication April 28, 1961.

Presented at the American Thoracic Society— National Tuberculosis Association, annual meeting, Cincinnati, May 22, 1961.

Supported by The Tuberculosis Institute of Chicago and Cook County, the Illinois Tuberculosis Association, and the American Thoracic Society.

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