1999•PubMedRequires access

[The role of thoracoscopy in diagnosis and management of malignant pleural effusions.].

Jiuming He, Yu Shen, Zhen Shen, Zhu W

Abstract

BACKGROUND: To assess the value of thoracoscopy in malignant pleural effusions. METHODS: Fifteen patients with pleural effusions of unknown causes were examined by thoracoscope and were treated by intrapleural spraying with talcum powder suspension and cisplatin under thoracoscopy. RESULTS: All patients were proved as malignant cases through lung biopsy. The overall diagnostic rate was 100 %. Fourteen cases obtained complete pleurodesis and the persistent success rate was 93. 3 %. CONCLUSIONS: Thoracoscopy is a simple , safe , reliable , and practical method in the diagnosis of pleural effusions , and talc pleurodesis is an effective management for controlling malignant pleural effusions.

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Key concepts: Thoracoscopy, Medicine, Pleurodesis, Malignant pleural effusion, Lung cancer, Surgery, Biopsy, Mesothelioma