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Malignant pleural effusion and algorithm management.

TitleMalignant pleural effusion and algorithm management.
Publication TypeJournal Article
Year of Publication2013
AuthorsZarogoulidis, K., Zarogoulidis P., Darwiche K., Tsakiridis K., Machairiotis N., Kougioumtzi I., Courcoutsakis N., Terzi E., Zaric B., Huang H., Freitag L., & Spyratos D.
JournalJ Thorac Dis
Volume5 Suppl 4
PaginationS413-9
Date Published2013 Sep
ISSN2072-1439
Abstract

Involvement of the pleura in lung cancer is a common manifestation accompanying with reduced life expectancy. Symptoms relief and improvement of the quality of life are the primary goals of the management of malignant pleural effusion (MPE). Histological confirmation is essential for optimal patient management. Lung cancer patients, with life expectancy more than 3 months, resistant to chemotherapy should be treated with thoracentesis, intercoastal tube drainage and installation of a sclerosant agent or pleurodesis through thoracospopic procedures or placement of an indwelling pleura catheter. Talc pleurodesis (sterile asbestos-free graded, particle size >15 μm), as "poudrage" or "slurry" still remains the treatment of choice in patients with MPE resistant to chemotherapy.

DOI10.3978/j.issn.2072-1439.2013.09.04
Alternate JournalJ Thorac Dis
PubMed ID24102015
PubMed Central IDPMC3791493

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