Related Experiment Video
Updated: Jan 5, 2026
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
1.4K
Pleural Effusion with Mediastinal and Hemidiaphragm Mass Effect: A Case Report
Rachel E Bridwell1, Michael J Yoo1, Joshua J Oliver2
1Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.
Cureus
|October 16, 2019
Summary
Pulmonary metastases from leiomyosarcoma are rare but aggressive. This case highlights a patient with stage 4b disease experiencing lung metastasis and pleural effusion, emphasizing risks like re-expansion pulmonary edema.
Area of Science:
- Oncology
- Pulmonary Medicine
- Sarcoma Research
Background:
- Leiomyosarcoma is a rare soft tissue sarcoma.
- Pulmonary metastases represent an aggressive, life-threatening complication.
- Advanced stage leiomyosarcoma carries a poor prognosis.
Observation:
- A 48-year-old woman with stage 4b leiomyosarcoma presented with dyspnea.
- Hemodynamic instability was noted, secondary to a large lung metastasis.
- Massive pleural effusion was a significant clinical finding.
Findings:
- The patient's presentation underscores the critical nature of pulmonary metastases in leiomyosarcoma.
- Large lung metastases can lead to severe respiratory compromise and hemodynamic instability.
- Massive pleural effusion complicates the management of lung metastases.
Implications:
- This case highlights the vulnerability of patients with extensive lung metastases to complications like re-expansion pulmonary edema.
- Aggressive management strategies are crucial for leiomyosarcoma patients with pulmonary involvement.
- Further research into managing pulmonary metastases in leiomyosarcoma is warranted.
Related Concept Videos
01:28Pleural Effusion II: Symptoms and Management
585
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
585
01:25Pleural Effusion I: Introduction
3.7K
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
3.7K
01:27Pneumothorax-II
815
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
815
01:30Pleural Disorders: Types and Brief Description
545
The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
545
01:13Pleura of the Lungs
6.0K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
6.0K
01:26Pneumothorax-I
1.1K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
1.1K