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Malignant Pleural Effusion With Nonexpandable Lung and Hydropneumothorax After Thoracentesis

  • Claudio Sorino
  • , David Feller-Kopman
  • , Giampietro Marchetti

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

A heavy smoker gradually developed shortness of breath and right chest pain. Chest radiography revealed right-sided pleural effusion; thus the patient underwent thoracentesis. After the procedure, hydropneumothorax was found, which did not resolve despite placement of a chest tube. Positron emission tomography/computed tomography (PET/CT) supported the hypothesis of cancer in the lower lobe of the right lung, with ipsilateral hilar lymph node metastasis. Cytology of pleural effusion suggested adenocarcinoma of pulmonary origin. To obtain adequate neoplastic typing and molecular profiling, further diagnostic procedures for histological sampling were discussed.

Original languageEnglish (US)
Title of host publicationPleural Diseases
Subtitle of host publicationClinical Cases and Real-World Discussions
PublisherElsevier
Pages3-14
Number of pages12
ISBN (Electronic)9780323795418
DOIs
StatePublished - Jan 1 2021

Keywords

  • Hydropneumothorax
  • Indwelling pleural catheters
  • Malignant pleural effusion
  • Nonexpandable lung
  • Pleural manometry
  • Thoracentesis
  • Thoracoscopy

ASJC Scopus subject areas

  • General Medicine

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