{"id":4442,"date":"2020-12-03T13:07:15","date_gmt":"2020-12-03T13:07:15","guid":{"rendered":"http:\/\/www.scottishmesotheliomanetwork.scot.nhs.uk\/?page_id=4442"},"modified":"2024-02-12T16:28:47","modified_gmt":"2024-02-12T16:28:47","slug":"pleural-pathway","status":"publish","type":"page","link":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/patients\/pleural-pathway\/","title":{"rendered":"Pleural Pathways"},"content":{"rendered":"\n<p>Patients typically present to their GP, A &amp; E or from another specialty with various symptoms including breathlessness, chest pain, cough, tiredness, etc.&nbsp; A chest X-ray can identify if a pleural effusion (fluid around the lung) or pleural mass is present.&nbsp; There are a number of investigations that can be carried out to ascertain a diagnosis but not all patients will require every investigation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CT (computerised tomography) scan<\/h2>\n\n\n\n<p>A CT (computerised tomography) scan uses computers and a rotational X-ray machine to take cross sectional images of your body.&nbsp; It provides more detail than a X-ray and usually lasts no longer than 15-30 minutes.&nbsp; An injection containing a special dye called contrast can be used to highlight the images.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CT Positron Emission Tomography scan (CT PET)<\/h2>\n\n\n\n<p>A CT PET scan can help identify if a cancer has spread to other parts of your body.&nbsp; You will be given an injection called a radiotracer which goes around your body and highlights any abnormal areas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pleural aspiration<\/h2>\n\n\n\n<p>Pleural aspiration involves passing a small needle through the chest wall to remove fluid from around the lung under ultrasound guidance.&nbsp; This procedure can be used for diagnostic purposes or for therapeutic benefit.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Local Anaesthetic Thoracoscopy (LAT)<\/h2>\n\n\n\n<p>Local anaesthetic thoracoscopy (LAT) is a procedure where a special camera called a thoracoscope is inserted into the space between your chest wall and lung.&nbsp; Biopsies (small tissue samples) can be taken to help identify the cause of your illness and sometimes a special sterile talc can be inserted during this procedure to prevent fluid accumulating again.&nbsp; You will be given sedation for this procedure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CT\/USS guided biopsy\u00a0<\/h2>\n\n\n\n<p>A CT or USS guided biopsy is a procedure where a Radiologist will insert a needle under CT or ultrasound guidance to obtain a small tissue sample (biopsy).&nbsp; You will be given sedation for this procedure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Video Assisted Thoracoscopic Surgery (VATS)<\/h2>\n\n\n\n<p>Video Assisted Thoracoscopic Surgery (VATS) is a surgical procedure which involves inserting a thoracoscope and other surgical instruments via a number of small incisions into your chest.&nbsp; It is used to obtain tissue (biopsies) to aid a diagnosis.&nbsp; It is slightly more invasive than LAT and is done under general anaesthetic.<\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"nhsuk-card__description\">Patients typically present to their GP, A &amp; E or from another specialty with various symptoms including breathlessness, chest pain, [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":2884,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4442","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/wp-json\/wp\/v2\/pages\/4442","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/wp-json\/wp\/v2\/comments?post=4442"}],"version-history":[{"count":9,"href":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/wp-json\/wp\/v2\/pages\/4442\/revisions"}],"predecessor-version":[{"id":6275,"href":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/wp-json\/wp\/v2\/pages\/4442\/revisions\/6275"}],"up":[{"embeddable":true,"href":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/wp-json\/wp\/v2\/pages\/2884"}],"wp:attachment":[{"href":"https:\/\/www.nn.nhs.scot\/scottishmesotheliomanetwork\/wp-json\/wp\/v2\/media?parent=4442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}