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Updated: Apr 8, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Indwelling pleural catheters for malignant pleural effusion
Dympna McPhillips1, David Breen2
1Oncology Clinical Nurse Specialist, Oncology Unit, Cavan General Hospital, Cavan, Ireland.
Malignant pleural effusions significantly impact cancer patient quality of life. This review explores indwelling pleural catheters for outpatient management of these effusions, considering patient preference.
Area of Science:
- Oncology
- Pulmonology
- Palliative Care
Background:
- Malignant pleural effusions are common in cancer patients, causing significant symptoms and reduced quality of life.
- Not all pleural effusions in cancer patients are directly caused by the malignancy, necessitating thorough etiological assessment.
- Various treatment options exist for malignant effusions, with intervention choice influenced by factors like patient preference.
Purpose of the Study:
- To discuss the role of indwelling pleural catheters (IPCs).
- To highlight outpatient management strategies for malignant pleural effusions.
- To provide an overview of current approaches to managing cancer-related pleural effusions.
Main Methods:
- Literature review focusing on malignant pleural effusions and their management.
- Analysis of treatment modalities, emphasizing indwelling pleural catheters.
- Discussion of diagnostic assessment and patient-centered care considerations.
Main Results:
- Malignant pleural effusions require careful diagnosis to determine etiology.
- Indwelling pleural catheters offer a viable outpatient management option for symptomatic malignant effusions.
- Treatment selection is multifactorial, prioritizing patient preferences and symptom relief.
Conclusions:
- Indwelling pleural catheters are an effective tool for managing malignant pleural effusions in an outpatient setting.
- Comprehensive assessment is crucial for accurate diagnosis and appropriate treatment selection.
- Patient preference plays a key role in optimizing the management of malignant pleural effusions.
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