Background: Malignant pleural effusion is common in patients with advanced malignant tumor. The aim of this study is to analyze the characteristics of pleural metastasis of renal clear cell carcinoma, pleural effusion under medical thoracoscopy and the diagnostic value of interventional thoracoscopy-guided biopsy, and to improve the understanding of pleural metastasis of renal clear cell carcin...

Chylous pleural effusion is characterized by milky-appearing fluid with elevated triglyceride content and presence of chylomicrons in the pleural space. Even though patients with lymphoma sometimes present with malignant pleural effusion, chylous effusion is rarely encountered as a presenting feature in such patients. We present a 47-year-old woman diagnosed as follicular lymphoma who presented...

as well as shorter overall hospitalization duration. In a study in 1949, Tillett and Sherry [6] reported the use of a mixture of streptokinase and streptodornase for intrapleural fibrinolysis. Purified streptokinase was available in the 1960s, resulting in an improved safety profile [7]. Due to concerns about the antigenicity of streptokinase, urokinase was introduced in 1987 and became the mos...

We determined the levels of lysozyme in pleural fluid and serum in 141 patients with the following different causes for their pleural effusions: tuberculosis; neoplasias; transudates; parapneumonic, not complicated; empyemas; and miscellaneous. The lysozyme level of the pleural fluid and the ratio of that level over the serum level of lysozyme (PL/SL ratio) was meaningfully increased in patient...

background: pleurotomy during coronary artery bypass grafting (cabg) may cause post-operative events, mostly pulmonary complications. in this study, we evaluated the influence of pleurotomy during cabg on the clinical outcome following left internal mammary artery (lima) harvesting. methods: between march and august 2009, 102 patients who underwent cardiac surgery were enrolled in this study an...

COMMUNICATIONS TO THE EDITOR 243 O’Donohue the pleural manifestation occurred by accident, not associated with the common etiologic relationship of the yellow nail syndrome, namely, the primarily defective lymphatic circulation. The history data on their patient as having profound mental retardation and being under continuous use of anticonvulsants and sedatives, suggests a propensity toward th...

Study objectives: To review the pleural fluid characteristics, pleural manometry, and radiographic data of patients who received a diagnosis of trapped lung in our pleural diseases service. Design: Retrospective case series. Methods: The procedure records of 247 consecutive patients who underwent pleural manometry at the Medical University of South Carolina between October 2002 and November 200...

Tuberculosis (TB) is one of the oldest and commonest infectious diseases also known as “master of Death”. Pulmonary TB (PTB) and TB with pleural effusion remains a diagnostic challenge. Adenosine deaminase (ADA) is an enzyme of purine catabolism which is an inexpensive and easy test in early routine evaluation of patients with pleural effusion. Aim: To assess the diagnostic level of ADA in TB p...

Pneumonia remains one of the most common infectious causes of mortality. Patients with pneumonia develop parapneumonic effusions with a high neutrophil count as well as high protein concentrations. We hypothesized that pulmonary parenchymal bacterial infection causes a permeability change in the pleural mesothelium by inducing the production of vascular endothelial growth factor (VEGF). Complic...

While pleural effusion in multiple myeloma is relatively infrequent, myelomatous pleural effusion is extremely rare. We experienced a 61-year-old woman with IgD-lambda multiple myeloma and pleural effusion. The diagnosis was made originally by pleural biopsy, pleural fluid cytology and immunoelectropheresis of pleural fluid. Transient improvement of the pleural effusion was observed after admin...