Transudative pleural effusion of malignant etiology: Rare but real

2Citations
Citations of this article
12Readers
Mendeley users who have this article in their library.

Abstract

A 62-year-old female presented to the emergency room with one-month history of epigastric abdominal pain, nausea and vomiting. She endorsed progressive dyspnea over two weeks. CT of the abdomen demonstrated bilateral pleural effusions and pancreatic inflammation, so the working diagnosis was pancreatitis. A diagnostic thoracentesis was performed and the pleural fluid analysis was classified as transudate by Light's criteria. Given the atypical features in history and concern for malignancy, fluid was sent for cytological examination and immunohistochemistry which suggested a mucinous malignancy. EGD revealed poorly differentiated signet ring cell adenocarcinoma of stomach. Patient underwent placement of indwelling pleural catheters for symptomatic improvement and was discharged to hospice. The decision whether to routinely send transudative effusions for cytological evaluation remains controversial. This case demonstrates the importance of using clinical judgement to guide that decision.

Cite

CITATION STYLE

APA

Johnson, L., Fakih, H. A. M., Daouk, S., Saleem, S., & Ataya, A. (2017). Transudative pleural effusion of malignant etiology: Rare but real. Respiratory Medicine Case Reports, 20, 188–191. https://doi.org/10.1016/j.rmcr.2017.02.015

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free