To the Editor: Rahman and colleagues (Aug. 11 issue)1 found improved fluid drainage in patients with pleural infections and a reduced frequency of surgical referral and duration of hospital stay after combined therapy with intrapleural tissue plasminogen activator (t-PA) and DNase. In pleural effusions, the viscosity correlates with the concentrations of albumin, protein, and lactate dehydrogen...

Metastatic tumours of pleura are the most common malignant tumours causing malignant pleural effusion. Lungs are the most common primary sites. Primary pleural tumours are rarely seen and diffuse malignant mesothelioma is the most common malignant tumour of pleura. Primary malignant neuroendocrine tumour of pleura is not reported in the literature. Here, we report a rare case of primary maligna...

BACKGROUND AND OBJECTIVE: Video-assisted thoracoscopic surgery is preferred over conventional methods, such as pleural biopsy, in the diagnosis and treatment of patients with pleural effusion. Considering that Imam Khomeini Hospital is facing a large volume of patients with pleural effusion of unknown origin referred from other centers, the present study was conducted to investigate the role of...

A rare case of bilateral pneumothorax in a 54-year-old woman with advanced breast cancer associated with lung and pleural metastases is presented. The patient was admitted to our hospital complaining of unexpected severe dyspnea. A chest X-ray showed bilateral pneumothorax associated with multiple lung metastases and pleural effusions, followed by immediate pleural drainage. Although air leak a...

Objective: We aimed to evaluate the frequency of Familial Mediterranean Fever (FMF) related pleural effusions in the patients who hospitalized for pleural effusion. Methods: 123 adult patients with pleural effusion were included in the study. In addition to demographic data clinical, radiological/scintigraphic imaging , bronchoscopical findings, cytological, histopathological, biochemical analy...

OBJECTIVE The present study is designed to evaluate the role of pleural fluid analysis in diagnosing pleural diseases and to study the advantages and disadvantages of thoracocentasis and pleural biopsy. MATERIALS AND METHODS We prospectively included 66 consecutive indoor patients over a duration of 1 year. Pleural fluid was collected and cytological smears were made from the fluid. Plural bi...

OBJECTIVE Postoperative pleural adhesions lead to major problems in repeated thoracic surgery. To date, no antiadhesive product has been proven clinically effective. Previous studies of differently charged polypeptides, poly-L-lysine (PL) and poly-L-glutamate (PG) have shown promising results reducing postoperative abdominal adhesions in experimental settings. This pilot study examined the poss...

introduction: different etiologies of pleural effusion are diagnosed based on serum and plural fluid characteristics. the aim of this study was to assess and compare the serum and pleural fluid protein to lactate dehyrogenase (pr/ldh) ratio in exudative pleural effusions. materials and methods: this study was conducted on 60 patients with exudative pleural effusion including: 20 cases with para...

INTRODUCTION Leiomyosarcomas are neoplasms of smooth muscles that most commonly arise from the uterus, gastrointestinal tract, or soft tissue. Primary pleural leiomyosarcoma is extremely rare. To the best of our knowledge, only nine cases have been published to date. Because of the rarity of pleural leiomyosarcoma and its similarity (clinical and histological) to other pleural neoplasms, partic...