Treatment options for malignant pleural effusion.
OBJECTIVE
Thirty percent of lung cancers eventually result in malignant pleural effusion (MPE). Devastating consequences of MPE, such as dyspnea and cough, severely deteriorate the quality of life of these patients. Malignant pleural effusion portends a dismal prognosis of less than 6-month longevity, with the exception of breast and ovarian cancer. Given the poor prognosis of the majority of these patients, palliation, rather than cure, should be the goal of therapy.


RESULTS
Chest tube insertion and sclerotherapy remain the standard of care. Emerging therapeutic options such as medical pleuroscopy and indwelling pleural catheters offer cost-effective and outpatient treatments for MPE.


CONCLUSIONS
In the following review, the medical, economic, and social aspects of different current options for the management of MPE are discussed.
Musani
Ali I
AI
Division of Pulmonary, Allergy and Critical Care Medicine, National Jewish Health, 1400 Jackson Street, J225, Denver, CO 80206, USA. musania@njhealth.org
D000465:Algorithms; D002408:Catheters, Indwelling; D015505:Chest Tubes; D006801:Humans; D016066:Pleural Effusion, Malignant / Q000628:therapy*; D018700:Pleurodesis / Q000379:methods; D015911:Sclerotherapy / Q000379:methods; D013906:Thoracoscopy / Q000379:methods