NYMC Faculty Publications

Contemporary Approach to the Diagnosis of Malignant Pleural Effusion

DOI

10.1513/AnnalsATS.201902-189CME

Journal Title

Annals of the American Thoracic Society

First Page

1099

Last Page

1106

Document Type

Article

Publication Date

September 2019

Department

Medicine

Abstract

Advanced malignancy is a prevalent cause of exudative pleural effusion. The management of malignant pleural effusion (MPE) has been the subject of several recent randomized controlled trials and excellent reviews. Less attention has been focused on another controversial and challenging aspect of MPE: establishing the diagnosis. Before selecting the optimal management strategy, the presence of an MPE must first be correctly identified with an emphasis on minimizing invasiveness and discomfort in a patient with late-stage cancer. The aim of the present review is to summarize the current knowledge about MPE diagnostics and to propose an algorithm for the diagnosis of MPE in established or suspected malignancy.

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