Clinical Case Database / Category: Patient Management
The management of malignant pleural effusions
Publication details
Charlie Wilkinson MBChB, MRCP(Lon), M
Foundation Years Journal, volume 3, issue 9, p.38 (123Doc Education, London, November 2010)
Abstract
This article examines the assessment and management strategy of patients with a malignant pleural effusion with the aid of an illustrative case history.
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Authors
Charlie Wilkinson MBChB, MRCP(Lon), M
Consultant Physician Calderdale Royal Hospital
Department of General Medicine
Calderdale and Huddersfield NHS Foundation Trust
Salterhebble, Halifax, HX3 0PA
charlie.wilkinson@cht.nhs.uk
References
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4 Feller-Kopman. Ultrasound-guided thoracocentesis. Chest, 2006, 129:1709–1714.
5 Medford A and Maskell N. Pleural effusion. Postgrad Med J, 2005, 81:702–710.
6 Maskell NA and Butland RJA. BTS guidelines for the investigation of a unilateral pleural effusion in adults. Thorax, 2003, 58(Suppl II):ii8–ii17.
7 Light RW. Pleural effusion. N Engl J Med, 2002, 346:1971–1977.
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9 Light RW, Macgregor MI, Luchsinger PC, et al. Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med, 1972, 77:507–513.
10 Heffner JE and Klein JS. Recent advances in the diagnosis and management of malignant pleural effusions. Mayo Clin Proc, 2008, 83:235–250.
11 Leung AM, Muller NL, Miller RR. CT in differential diagnosis of diffuse pleural disease. ATR, 1990, 154:3–92.
12 Chakrabati B, Ryland I, Sheard J, et al. The role of Abrams percutaneous pleural biopsy in the investigation of exudative pleural effusions. Chest, 2006, 129:1549–1555.
13 Jaklitsch MT, DeCamp MM, Liptay MJ, et al. Video-assisted thoracic surgery in the elderly. A review of 307 cases. Chest, 1996, 110:751–758.
14 Oken MM, Creech RH, Tormey DC, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol, 1982, 5:649–655.
15 National Patient Safety Agency Rapid Response Report. Risks of chest drain insertion. May 2008 (http://www.npsa.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=11636) (accessed 16/06/2008)
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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