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Vol 4, No 3 (2005): Polish Palliative Medicine
Case reports
Published online: 2005-09-09
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Treatment of the recurrent pleural exudate in malignant pleural mesothelioma - case report

Adrianna Drozdowska, Ewa Jassem, Krzysztof Kuziemski, Iwona Damps-Konstańska, Jan Marek Słomiński
Advances in Palliative Medicine 2005;4(3):111-115.

open access

Vol 4, No 3 (2005): Polish Palliative Medicine
Case reports
Published online: 2005-09-09

Abstract

Recurrent pleural effusion is one of the frequent manifestations of malignant mesothelioma and other malignancies with pleural involvement. The thoracocentesis and the evacuation of effusion improve patients quality of life, but this effect is transient. Standard therapy includes drainage of pleural cavity and chemical pleurodesis. Talc is considered the most effective and safe agent. In recurrent effusion, especially when the complete drainage is impossible, chronic indwelling pleural catheter or pleural-peritoneal shunt are used. Although decortication and pleurectomy are effective the co-morbitidity associated with these methods is frequent. Presented is the case of recurrent pleural effusion due to malignant mesothelioma requiring the administration of different treatment methods.

Abstract

Recurrent pleural effusion is one of the frequent manifestations of malignant mesothelioma and other malignancies with pleural involvement. The thoracocentesis and the evacuation of effusion improve patients quality of life, but this effect is transient. Standard therapy includes drainage of pleural cavity and chemical pleurodesis. Talc is considered the most effective and safe agent. In recurrent effusion, especially when the complete drainage is impossible, chronic indwelling pleural catheter or pleural-peritoneal shunt are used. Although decortication and pleurectomy are effective the co-morbitidity associated with these methods is frequent. Presented is the case of recurrent pleural effusion due to malignant mesothelioma requiring the administration of different treatment methods.
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Keywords

malignant pleural effusion; malignant pleural mesothelioma; pleurodesis

About this article
Title

Treatment of the recurrent pleural exudate in malignant pleural mesothelioma - case report

Journal

Advances in Palliative Medicine

Issue

Vol 4, No 3 (2005): Polish Palliative Medicine

Pages

111-115

Published online

2005-09-09

Bibliographic record

Advances in Palliative Medicine 2005;4(3):111-115.

Keywords

malignant pleural effusion
malignant pleural mesothelioma
pleurodesis

Authors

Adrianna Drozdowska
Ewa Jassem
Krzysztof Kuziemski
Iwona Damps-Konstańska
Jan Marek Słomiński

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