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Indications for pleurectomy in malignant effusion.

N Martini, M S Bains, E J Beattie

    Cancer
    |March 11, 1975
    PubMed
    Summary

    Pleurectomy offers a survival benefit for select malignant pleural effusion patients. Of 83 patients followed for 2 years, 16 survived, demonstrating pleurectomy

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    Area of Science:

    • Thoracic Surgery
    • Oncology
    • Pulmonology

    Background:

    • Malignant pleural effusion is a common complication of various cancers.
    • Treatment options for malignant pleural effusion are often palliative.
    • Pleurectomy is a surgical intervention for managing malignant pleural effusion.

    Purpose of the Study:

    • To evaluate the survival outcomes of patients undergoing pleurectomy for malignant pleural effusion.
    • To identify common primary neoplasms associated with malignant pleural effusion requiring pleurectomy.
    • To outline the clinical indications for performing pleurectomy in this patient cohort.

    Main Methods:

    • Retrospective analysis of 106 patients treated with pleurectomy for malignant pleural effusion.
    • Follow-up data collected for 83 patients over a 2-year period.
    • Analysis of primary cancer types and reasons for surgical intervention.

    Main Results:

    • Sixteen out of 83 patients (19.3%) survived for 2 years post-pleurectomy, with a survival range of 2-6 years.
    • Most common associated cancers included lung carcinoma (41 cases), breast carcinoma (33 cases), and mesothelioma (14 cases).
    • Indications for pleurectomy included refractory effusion, trapped lung, and concurrent thoracotomy.

    Conclusions:

    • Pleurectomy can provide long-term survival for a subset of patients with malignant pleural effusion.
    • Lung and breast carcinomas are the leading causes of malignant pleural effusion necessitating pleurectomy.
    • Pleurectomy is a viable option when less invasive methods fail or in specific surgical contexts.

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