What is the preferred treatment for lung entrapment due to malignant pleural effusions?

Updated: Dec 28, 2018
  • Author: Kamran Boka, MD, MS; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

For patients with lung entrapment from malignant effusions indwelling tunneled catheter drainage systems are the preferred treatment and provide good palliation of symptoms. [45] In patients without lung entrapment, pleurodesis (also known as pleural sclerosis) is another option to prevent recurrence of symptomatic effusions. In a 2012 non-randomized study, 34 patients choosing placement of indwelling catheters for malignant effusions had significantly fewer days spent in the hospital, less recurrence of effusion, and more rapid improvement in quality of life, compared with 31 patients choosing talc pleurodesis. [46]


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