Pleural Category

Talc pleurodesis could be performed for palliative treatment only but would unlikely give pleural symphysis due to bulky tumor. Decortication and pleurectomy would be appropriate for patients who had positive nodes or were found to have sarcomatous tumors. An extrapleural pneumonectomy with adjuvant chemoradiotherapy would be appropriate for many patients, although staging information would give […]

In terms of evaluation of pleural effusion, the diagnosis of malignant mesothelioma by pleural fluid can be difficult. It is common for a diagnosis of malignant pleural effusion with adenocarcinoma to be made in error. Therefore, a repeat thoracentesis would not be useful at this point. While pleural biopsy may make the diagnosis and certainly […]

The patient underwent left-sided decortication and parietal pleurectomy. He was treated with postoperative radiotherapy (4,500 rad to the left hemithorax) and chemotherapy (cyclophos-phamide/doxorubicin/cisplatin) and was discharged. Approximately 1 year later, the patient presented with worsening dyspnea. He denied having weight loss, pain, productive cough, or hemoptysis. His chest radiograph was essentially stable with no remarkable […]

Therapy for mesothelioma and for complications from chest malignancies changes regularly. Malignant pleural mesothelioma is a disease of the pleura that is locally aggressive and persistent but generally does not metastasize until late in its course. The mainstay of therapy has been surgical extrapleural pneumonectomy or decortication, but the benefits of any therapy have not […]