PROFILE OF PLEURAL DISEASE PATIENTS UNDERGOING PLEUROSCOPY: A MULTICENTER STUDY IN MEDAND ADAM MALIK HOSPITAL IN MEDAN
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Keywords:
Pleuroscopy, Pleural Disease, Tuberculosis, MalignancyAbstract
Pleuroscopy plays an important role in diagnosing and guiding treatment strategies for lung diseases, particularly those involving the pleura.
Understanding the characteristics of patients undergoing pleuroscopy is essential for identifying clinical patterns and etiological trends. This study aims to analyze the characteristics of patients with pleural disorders who underwent pleuroscopy procedures. This was an observational analytical study with a case series design in 50 patients who underwent pleuroscopy. The data collected from medical records between August 2023- July 2024. Most patients were older than 40 years (80%) and female (52%). The most common clinical symptoms were cough, wheezing,
hoarseness, dysphagia, and fever (100%). The predominant chest X-ray finding was pleural effusion (88%), while CT scans most often showed atelectasis (20%). Pleuroscopic visualization (82%) and histopathological examination (58%) findings indicated malignant disease in most cases. The most frequent final diagnoses were malignant pleural effusion (54%) and non-malignant pleural effusion (36%). Regarding specific aetiologies, tuberculosis infection (32%) and lung adenocarcinoma (30%) were the leading causes.
ABSTRAK
Pleuroskopi berperan penting dalam menegakkan diagnosis dan menentukan strategi terapi penyakit paru, khususnya pada pleura. Karakteristik pasien yang menjalani pleuroskopi diperlukan untuk memahami kecenderungan kasus dan pola etiologi penyakit. Penelitian ini bertujuan untuk menganalisis karakteristik pasien dengan gangguan pleura yang menjalani prosedur pleuroskopi. Penelitian ini merupakan studi deskriptif observasional pada rekam medis 50 pasien yang menjalani pleuroskopi selama periode Agustus 2023 hingga Juli 2024. Sebagian besar pasien berusia lebih dari 40 tahun (80%) dan berjenis kelamin perempuan (52%). Gejala klinis yang paling sering dilaporkan adalah batuk, mengi, serak, sulit menelan, dan demam (100%). Gambaran rontgen dada menunjukkan efusi pleura (88%), sedangkan hasil CT scan menunjukkan atelektasis (20%). Sebagian besar pasien memiliki temuan pleuroskopi (82%) dan hasil histopatologi (58%) yang mengindikasikan penyakit ganas. Diagnosis akhir paling sering adalah efusi pleura ganas (54%) dan efusi pleura non-ganas (36%). Berdasarkan etiologi spesifik, penyebab terbanyak adalah tuberkulosis (32%) dan adenokarsinoma paru (30%).
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