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Management of Malignant Pleural Effusion

McCracken, David J., MRCP*; Rahman, Najib M., DPhil*,†

doi: 10.1097/CPM.0000000000000286
Topics in Pulmonary Medicine

Malignant pleural effusion is a common clinical problem with an increasing incidence that may be seen to complicate the management of almost all forms of cancer. It is associated with a very poor median survival leading to a palliative management approach. Several methods are available in the management of malignant pleural effusion including simple pleural aspiration, talc pleurodesis, or indwelling pleural catheters. Patient selection, however, remains difficult. The role for each management option, their indications, predictors of success, and factors influencing patient selection are all crucial considerations and are discussed here, as are the health economic impacts and future directions.

*Oxford Centre for Respiratory Medicine

Oxford Respiratory Trials Unit, Oxford, UK

Disclosure: The authors declare that they have no conflicts of interest.

Address correspondence to: David J. McCracken, MRCP, Oxford Centre for Respiratory Medicine, Churchill Hospital, Oxford OX3 7LE, UK. E-mail:

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