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- S A Sahn.
- Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston.
- Clin. Chest Med. 1993 Mar 1; 14 (1): 189-200.
AbstractPleural effusions are common in the setting of lung cancer. A pleural effusion associated with lung cancer is an ominous finding, but a small percentage of patients are candidates for curative surgery. The clinician must establish whether the effusion is malignant, excluding the possibility of curative surgery; paramalignant, which may or may not exclude surgery; or whether it is unassociated with cancer. When a malignant pleural effusion is diagnosed, the clinician must decide on the most appropriate form of palliation for the symptomatic patient. In the symptomatic patient with a reasonable life expectancy and pleural fluid pH of more than 7.3, chemical pleurodesis appears to be the most effective and least morbid therapy.
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