title: Chylothorax due to metastatic prostate carcinoma: an unusual complication.
abstract: Chylothorax, the abnormal accumulation of lymphatic fluid within the pleural space, is an infrequent complication of tumours affecting the mediastinum. The development of chylothorax is extraordinary in association with prostate cancer, although it has been described before. Adequate treatment of malignant chylothorax comprises both a conservative approach, including dietary and hormonal manipulations, and mechanic intercostal drainage that have been demonstrated to be effective in the management of chylothorax of malignant origin. Radiation therapy has been used for the treatment of neoplasic chylothorax but with inconsistent results. We present a new case of chylothorax associated to prostate adenocarcinoma and review the existing evidence for its treatment.
authors.affiliation: Department of Radiation Oncology, University Hospital Puerta de Hierro-Majadahonda, Majadahonda, Madrid, Spain. cristinacigarral@hotmail.com
authors.forename: Cristina
authors.initials: C
authors.lastname: Cigarral
authors.forename: Angel
authors.initials: A
authors.lastname: Montero
authors.forename: Clara
authors.initials: C
authors.lastname: Salas
authors.forename: Gemma
authors.initials: G
authors.lastname: Rodríguez
authors.forename: Alejandro
authors.initials: A
authors.lastname: de la Torre
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology*; D001706:Biopsy; D002916:Chylothorax / Q000150:complications* / Q000175:diagnosis*; D017809:Fatal Outcome; D019788:Fluorodeoxyglucose F18 / Q000494:pharmacology; D006801:Humans; D008297:Male; D008482:Mediastinum / Q000473:pathology*; D008875:Middle Aged; D009362:Neoplasm Metastasis; D049268:Positron-Emission Tomography; D011471:Prostatic Neoplasms / Q000150:complications* / Q000473:pathology*; D011878:Radiotherapy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D019788:Fluorodeoxyglucose F18