Malignant pleural effusion and algorithm management

Konstantinos Zarogoulidis, Paul Zarogoulidis, Kaid Darwiche, Kosmas Tsakiridis, Nikolaos Machairiotis, Ioanna Kougioumtzi, Nikolaos Courcoutsakis, Eirini Terzi, Bojan Zaric, Haidong Huang, Lutz Freitag, Dionysios Spyratos
Journal of Thoracic Disease 2013, 5 Suppl 4: S413-9
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.

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