• J Thorac Dis · May 2020

    Editorial

    Multimodal approach to the management of malignant pleural effusions: role of thoracoscopy with pleurodesis and tunneled indwelling pleural catheters.

    • Abhinav Agrawal and Septimiu Murgu.
    • Interventional Pulmonology, Section of Pulmonary & Critical Care, The University of Chicago Medicine, Chicago, IL, USA.
    • J Thorac Dis. 2020 May 1; 12 (5): 2803-2811.

    AbstractMalignant pleural effusion (MPE) is associated with a median survival of 3-6 months and causes significant symptoms affecting the overall quality of life in patients with advanced malignancies. Despite the high incidence of recurrent MPE, less than 25% of patients undergo a definitive pleural intervention as recommended by guidelines. In this review, we summarize the latest guidelines for management of MPE by various societies and discuss a multimodal approach in these patients using thoracoscopy with pleurodesis using talc insufflation and placement of tunneled indwelling pleural catheters (TIPC). We also address the role of diagnostic thoracoscopy for histologic and molecular diagnosis and outline our approach to patients with known or suspected MPE.2020 Journal of Thoracic Disease. All rights reserved.

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