PulmPEEPs

49. Top Consults: Malignant Pleural Effusions

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Jul 25, 2023
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INSIGHT

Common Malignancies

  • Lung cancer is the most common cause of malignant pleural effusions in men, while breast cancer is the most common in women.
  • Malignant pleural effusions indicate advanced cancer, resulting in a poor prognosis with a survival range of 3-12 months.
ADVICE

Malignant Pleural Effusion Risk Factors

  • Consider a patient's smoking history, family history of lung cancer, and less common exposures like asbestos or radon.
  • Assess for recent infectious symptoms, liver, kidney, or heart disease.
INSIGHT

Malignant vs. Paramelignant Effusions

  • Malignant effusions involve cancer cells invading the pleural membrane, confirmed by the presence of malignant cells in pleural fluid or tissue.
  • Paramelignant effusions result from indirect effects of cancer, such as bronchial obstruction or lymph node infiltration, without direct pleural invasion.
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