@AnnalsATS

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Viren Kaul, MD

@virenkaul

#Tweetorial: Diagnosis of Malignant Pleural Effusion (#MPE) to accompany publication in @AnnalsATS: bit.ly/2XM65pD

⚓️#MPE: Pl. Effusions (#pleff) w/ neoplastic cells/tissue
⚓️Paramalignant eff: related to malignancy but not due to it eg: endobronchial obstruction or PE

Answer me this dear folks!
Why is it important to diagnose #MPE?

While you ponder, LUNG and BREAST are commonest primaries metastatic to the pleural space! PMID: 24360987

#MPE = poor prognosis, change management & may help locate primary!

Ferrer (PMID: 15764788): >=4 of these strongly suggest #MPE:
a) Dyspnea, chest pain, constitutional sympt
b) Symptoms >1 mo
c) No fever
d) Blood-tinged #pleff
e) CT suggestive (mass, atelectasis, adenopathy)

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Discover and read the best of Twitter Threads about #pleuralbiopsy

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