Management of malignant pleural effusions

Adv Ther. 2010 Jun;27(6):334-47. doi: 10.1007/S12325-010-0031-8. Epub 2010 Jun 10.

Abstract

Malignant pleural effusions are a common clinical problem in patients with primary thoracic malignancy and metastatic malignancy to the thorax. Symptoms can be debilitating and can impair tolerance of anticancer therapy. This article presents a comprehensive review of pharmaceutical and nonpharmaceutical approaches to the management of malignant pleural effusion, and a novel algorithm for management based on patients' performance status.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Anastomosis, Surgical
  • Catheters, Indwelling
  • Chest Tubes
  • Cost-Benefit Analysis
  • Decision Support Techniques
  • Decision Trees
  • Drainage
  • Humans
  • Palliative Care / economics
  • Palliative Care / methods*
  • Paracentesis
  • Patient Selection
  • Pleural Effusion, Malignant / diagnosis
  • Pleural Effusion, Malignant / epidemiology
  • Pleural Effusion, Malignant / etiology
  • Pleural Effusion, Malignant / therapy*
  • Pleurodesis
  • Sclerosing Solutions / therapeutic use
  • Thoracoscopy
  • Thoracostomy
  • Treatment Outcome

Substances

  • Sclerosing Solutions