Migueres J, Jover A, Krempf M
Poumon Coeur. 1975;31(6):347-9.
Out of 440 pleural biopsies done with Abrams or Castelain needle, performed over 11 years in 300 pleural effusions, only 14 incidents of accidents occurred. There were 9 minor ones (intrapleural bleeding, subcutaneous emphysema, pneumoserosa by aspiration). Neoplastic graft along the biopsy tract was observed in 5 cases, of which 4 were primitive malignant mesotheliomas and one a primitive appearing neoplastic pleurisy. The risk of parietal neoplastic seeding runs high in malignant mesothelioma, considering that 11 such cases were included in this series of biopsied patients. This risk is not specific to plaural biopsy and can be encountered in simple thoracentesis. This complication therefore is not a contra-indication to needle biopsy as it is only observed in diseases beyond surgical redemption.
在11年期间，对300例胸腔积液患者进行了440次使用Abrams针或Castelain针的胸膜活检，仅发生了14起意外事件。其中9起为轻微事件（胸腔内出血、皮下气肿、穿刺引起的气胸）。5例观察到活检通道处有肿瘤种植，其中4例为原发性恶性间皮瘤，1例为原发性肿瘤性胸膜炎。考虑到本系列活检患者中有11例此类病例，壁层肿瘤种植在恶性间皮瘤中的风险很高。这种风险并非胸膜活检所特有，在单纯胸腔穿刺术中也可能出现。因此，这种并发症并非针吸活检的禁忌证，因为它仅在无法手术挽救的疾病中观察到。
