Therapy of pleural effusions Modern techniques
|
|
- Grant Singleton
- 8 years ago
- Views:
Transcription
1 Therapy of pleural effusions Modern techniques Dr. Melanie Toffel Sugery of the chest
2 Pleural effusion Ethiology
3 In the normal pleural space there is a steady state in which there is a roughly equal rate of the formation (entry) and absorption (exit) of liquid. V.C.Boroaddus, uptodate.com; 12/2012
4 Causes of pleural effusions Transudative (congestive heart failure, nephrotic syndrome) Exsudative - Neoplastic disease (metastatic, mesothelioma) - Infectious disease (tuberculosis, viral or fungal infections) - Pulmonary embolization - Gastrointestinal disease (esophageal perforation, pancreas disease) - Collagen vascular disease (rheumatoid pleuritis) - After surgical produces (coronary artery bypass surgery, transplantation)
5 no single mechanism is likely to explain the development of a pleural effusion. It is likely that for many effusions, multiple factors contribute to effusion formation Quelle: uptodate; C. Broaddus; 12/2012
6 Diagnosis Analysis of the pleural effusion - color of fluid (bloody, milky, yellow) - character of fluid (pus, viscous..) - chemical analysis ph, LDH, protein, glucose) - Light s criteria (transudate or exsudate - malignant: Positive fluid cytology and/or pleural biopsy for cancer - paramalignant: Pleural fluid and pleural biopsy are negative direct or indirect tumor effects such as bronchial obstruction, lymph node infiltration
7 Questions to be answered before treatment Will chemotherapy for the underlying tumor resolve the effusion? Should the effusion be treated? What is the prognosis for life expectancy? What are the treatment options? Is the lung expandable Is there a fast or slow reaccumulation of the effusion
8 Indications for treatment Asymptomatic malignant pleural effusion does not need to be treated as long as there is a steady state Some tumor type (breast, ovarian)may respond to chemotherapy with resolution of the effusion Not responding malignant effusions causing dyspnea require palliative therapy directed at the pleural space
9 Treatment Chemotherapy Observation Therapeutic thoracentesis Chest catheter drainage only Chest catheter drainage with chemical pleurodesis (eg, talc slurry) Thoracoscopy with talc insufflation (medical or VATS) Pleural abrasion or pleurectomy Long-term indwelling pleural catheter Pleuroperitoneal shunt Heffner JE, Klein: JS Mayo Clin Proc. 2008;83(2):235
10 Pleurodesis Obliteration of the pleural space by the induction of pleural inflammation and fibrosis by instillation of sclerosant (talc)
11 Talc Mg3Si4010(OH)2 Magnesium silicate sheet asbestos-free sterilised 2-3g talc, not more 2 ways to install the talc: - At thoracoscopy using an atomiser termed talc poudrage - Via an intercostal tube as a suspension termed talc slurry Stefani et al (2006) E J Cardiothorac Surg 30(6):
12
13 Talc slurry Talc slurry is a nondissolving suspension of talc powder in saline, (50 ml of sodium chloride 0.9 %, injected into the talc powder bottle) Talc slurry distributes quite poorly over the pleural surfaces, and tends to collect at the caudal sinuses Russak et al Chest 1997; 111(2): 442
14
15 Adverse events - Fever - Pain - Gastointestinal symptoms - Respiratory problems (ARDS, pneumonia)
16 In-dwelling pleural catheter provide a high degree of symptom relief lung entrappment or endobronchial obstruction by tumor EWIMED pleural fluid drainage via the in-dwelling cather at home significantly fewer days in hospital fewer additional pleural procedures than those who received pleurodesis positiv impact on dyspnea, cough and fatigue Fysh et al 2012, Chest 142(2); ; Davies et al (2012) JAMA 307(22); ; Robert et al (2010)Thorax 65(2) 32-40
17 PleurX (in-dwelling catheter) Ewimed, Hechingen Germany
18 Ewimed Hechingen Germany
19
20 45-70 % spontaneus pleurodesis with in-dwelling catheter Demmy et al 2012 J Natl Compr Canc Netw 10(8): ; Davies et al 2012 JAMA 307(22):
21 Shunt (pleuroperitoneal) Raley used option with trapped lung More invasive than an in-dwelling catheter - during thoracoscopy the shunt is inserted with one end in the pleural cavity and the other through a tunnel into the peritoneum - the pumping chamber is placed in a subcutaneous pocket overlying the costal margin Complication: (15%) - shunt failure - occlusion - infection
22 Ewimed Hechingen Germany
23 Pleurectomy and/or Decortication Pleurectomy: resection of of visceral and parietal pleura Decortication: removal of fibrous pleural rind Needs thoracotomy with higher morbidity and mortality
24 Indication and treatment
25 Patients with rapid entry rates good prognosis > 6 month bad prognosis < 6 month Thoracoscopy with talc poudrage Pleurectomy Chest tube Indwelling pleural catheter
26 slow reaccumulation Therapeutic thoracocentesis Prompt relief of dyspnoe Performed at the bedside Infection is possible After repeated thoracocentesis : Thoracoscopy with talcum poudrage
27 Complication for prolonged non treatment Trapped lung
28 Trapped lung
29 Trapped lung
30 Trapped lung: treatment Pleurectomy / decortication indwelling pleural catheter
31 Choosing the treatment In-dwelling pleural catheter - short time in hospital - ideal for patient with a shorter duration of survival Talc slurry via chest tube - survival for only a few months - risk for respiratory complications Thoracoscopy with talc insufflation - longer survival - during a diagnostic thoracoscopy - risk for respiratory complications
32 Choosing the treatment Pleurectomy - it is the primary therapy for patient with malignant pleura mesothelioma or - failure in treatment of malignant effusions and good prognosis Shunt (pleuroperitoneal) - for trapped lung - failed pleurodesis - it is more invasive than an in-dwelling catheter - shunt-related problems
33 Case Patient, 74 years old, Adeno carcinoma left lower lobe, since may 2012, pleural carcinoma and malignant effusions left, since 3 days fever, leucocytosis Atalectasis left lower lobe Pleural empyema
34 Problems Since 11/2012 atalectasis left lower lobe with malignant pleural effusions and trapped lung No possibility for talc poudrage Actual no chemotherapy (empyema) We will plan a lower lobe resection left with pleurectomy
35 Summary Asymptomatic patients do not need treatment First treatment of symtomatic patients: thoracentesis Further treatment depends on prognosis for life expectancy, dynamic of reaccumulation, tumor type and possibility of the lung to expand Method of choice: thoracoscopic talc poudrage In-dwelling catheter best for patients with a trapped lung and/or recurrent pleural effusion and a short expected survival time In case of failure pleurectomy and/or decortication in elected cases
EPEC -O. Education In Palliative And End-Of-Life Care For Oncology. Self-Study Module 3m: Symptoms; Malignant Pleural Effusions
EPEC -O Education In Palliative And End-Of-Life Care For Oncology Self-Study Module 3m: Symptoms; Malignant Pleural Effusions Module 3m: Symptoms; Malignant Pleural Effusions Abstract... 3 Introduction...
More informationSurgeons Role in Symptom Management. A/Prof Cliff K. C. Choong Consultant Thoracic Surgeon Latrobe Regional Hospital GIPPSLAND
Surgeons Role in Symptom Management A/Prof Cliff K. C. Choong Consultant Thoracic Surgeon Latrobe Regional Hospital GIPPSLAND Conditions PLEURAL Pleural effusion Pneumothorax ENDOBRONCHIAL Haemoptysis
More informationHow To Treat A Cancer With A Radical
Management of mesothelioma Jan.vanmeerbeeck@ugent.be Amsterdam, March 6, 2010 1 management Palliation Symptomatic care Pain Breathlessness Radiotherapy Chemotherapy Surgery Radical (intention to cure)
More informationMalignant Pleural Effusions. Introduction. Further Reading. Etiology. Abstract
372 PLEURAL EFFUSIONS / Malignant Pleural Effusions Further Reading Antony VB and Mohammed KA (1999) Pathophysiology of pleural space infections. Seminars in Respiratory Infections 14(1): 9 17. Colice
More informationبسم هللا الرحمن الرحيم
بسم هللا الرحمن الرحيم Updates in Mesothelioma By Samieh Amer, MD Professor of Cardiothoracic Surgery Faculty of Medicine, Cairo University History Wagner and his colleagues (1960) 33 cases of mesothelioma
More informationAmerican Thoracic Society
American Thoracic Society Management of Malignant Pleural Effusions THIS OFFICIAL STATEMENT OF THE AMERICAN THORACIC SOCIETY WAS ADOPTED BY THE ATS BOARD OF DIRECTORS, MARCH 2000 CONTENTS Incidence Etiology
More informationDiseases. Inflammations Non-inflammatory pleural effusions Pneumothorax Tumours
Pleura Visceral pleura covers lungs and extends into fissures Parietal pleura limits mediastinum and covers dome of diaphragm and inner aspect of chest wall. Two layers between them (pleural cavity) contains
More informationSternotomy and removal of the tumor
Sternotomy and removal of the tumor All thymomas originate from epithelial thymic cells 4% of them consist of a pure population of epithelial cells Most have mixed populations of lymphoid cells to a
More informationObjectives. Mylene T. Truong, MD. Malignant Pleural Mesothelioma Background
Imaging of Pleural Tumors Mylene T. Truong, MD Imaging of Pleural Tumours Mylene T. Truong, M. D. University of Texas M.D. Anderson Cancer Center, Houston, TX Objectives To review tumors involving the
More informationPleural Disease Chapter 14
14 Pleural Disease The pleura is a thin tissue covered by a layer of cells (mesothelial cells) that surrounds the lungs and lines the inside of the chest wall. The pleural space is the area between the
More informationUnderstanding Pleural Mesothelioma
Understanding Pleural Mesothelioma UHN Information for patients and families Read this booklet to learn about: What is pleural mesothelioma? What causes it? What are the symptoms? What tests are done to
More informationInternational Journal of Case Reports in Medicine
International Journal of Case Reports in Medicine Vol. 2013 (2013), Article ID 409830, 15 minipages. DOI:10.5171/2013.409830 www.ibimapublishing.com Copyright 2013 Andrew Thomas Low, Iain Smith and Simon
More informationManagement of Chest Tubes and Air Leaks after Lung Resection
Management of Chest Tubes and Air Leaks after Lung Resection Emily Kluck PA-C The Johns Hopkins Hospital Baltimore, MD AATS 2014, Toronto, CAN April 2014 Management of Chest Tubes 1 Overview Review the
More informationMalignant pleural effusions
Surg Clin N Am 82 (2002) 867 883 Malignant pleural effusions Joe B. Putnam Jr, MD Department of Thoracic and Cardiovascular Surgery, The University of Texas, M.D. Anderson Cancer Center, 1515 Holcombe
More informationNeoplasms of the LUNG and PLEURA
Neoplasms of the LUNG and PLEURA 2015-2016 FCDS Educational Webcast Series Steven Peace, BS, CTR September 19, 2015 2015 Focus o Anatomy o SSS 2000 o MPH Rules o AJCC TNM 1 Case 1 Case Vignette HISTORY:
More informationHow To Diagnose And Treat A Pleural Effusion
Review Article Differential Diagnosis of Pleural Effusions JMAJ 49(9 10): 315 319, 2006 Tetsuo Sato* 1 Abstract A variety of disease states are associated with the development of pleural effusions, which
More informationRound Table with Drs. Anne Tsao and Alex Farivar, Case 2: Mesothelioma
Round Table with Drs. Anne Tsao and Alex Farivar, Case 2: Mesothelioma I d like to welcome everyone, thanks for coming out to our lunch with experts. The faculty today are great people in the thoracic
More informationClinical cases in Malignant Pleural Mesothelioma: Adherence to the ESMO Clinical Practice Guidelines
Clinical cases in Malignant Pleural Mesothelioma: Adherence to the ESMO Clinical Practice Guidelines Wieneke Buikhuisen The Netherlands Cancer Institute Amsterdam The Netherlands Case (1) Male, 56 year
More informationD iseases of the pleura and pleural space are
ii1 BTS GUIDELINES Introduction to the methods used in the generation of the British Thoracic Society guidelines for the management of pleural diseases R J O Davies, F V Gleeson... Thorax 2003;58(Suppl
More informationTreatment of mesothelioma in Bloemfontein, South Africa
European Journal of Cardio-thoracic Surgery 24 (2003) 434 440 www.elsevier.com/locate/ejcts Treatment of mesothelioma in Bloemfontein, South Africa W.J. de Vries*, M.A. Long Cardiothoracic Department,
More informationPre-workshop exercise
Setting research priorities for mesothelioma workshop 10 th November 2014 Pre-workshop exercise Your individual ranking of unanswered questions about the diagnosis, treatment and care of mesothelioma Please
More informationINFLAMMATORY PLEURAL EFFUSION
PLEURA- LESIONS LESIONS OF PLEURA Primary Intra pleural bacterial infections Neoplasm (mesothelioma) Secondary A complication of some underlying disease PLEURAL EFFUSION Common manifestation of both primary
More informationPET POSITIVE PLEURAL PLAQUES DECADES AFTER PLEURODESIS: MESOLTHELIOMA? Ellen A. Middleton 1. Jonathan C. Daniel 2. Kenneth S.
PET POSITIVE PLEURAL PLAQUES DECADES AFTER PLEURODESIS: MESOLTHELIOMA? Ellen A. Middleton 1 Jonathan C. Daniel 2 Kenneth S. Knox 1 Kathleen Williams 1 Departments of Medicine 1 and Surgery 2, University
More informationSurgery. Wedge resection only part of the lung, not. not a lobe, is removed. Cancer Council NSW
The treatment you receive will depend on your lung cancer type, for example, whether you have a non-small cell lung cancer Adenocarcinoma or Squamous cell carcinoma, and if this is a sub-type with a mutation.
More informationLung Cancer: Diagnosis, Staging and Treatment
PATIENT EDUCATION patienteducation.osumc.edu Lung Cancer: Diagnosis, Staging and Treatment Cancer begins in our cells. Cells are the building blocks of our tissues. Tissues make up the organs of the body.
More informationMANAGEMENT OF MALIGNANT PLEURAL EFFUSION
MANAGEMENT OF MALIGNANT PLEURAL EFFUSION Effective Date: October, 2014 The recommendations contained in this guideline are a consensus of the Alberta Provincial Lung Tumour Team and are a synthesis of
More informationThe diagnostic usefulness of tumour markers CEA and CA-125 in pleural effusion
Malaysian J Path01 2002; 24(1) : 53-58 The diagnostic usefulness of tumour markers CEA and CA-125 in pleural effusion Pavai STHANESHWAR MD, Sook-Fan YAP FRCPath, FRCPA and Gita JAYARAM MDPath, MRCPath
More informationMalignant Mesothelioma Current Approaches to a Difficult Problem. Raja M Flores, MD Thoracic Surgery Memorial Sloan-Kettering Cancer Center
Malignant Mesothelioma Current Approaches to a Difficult Problem Raja M Flores, MD Thoracic Surgery Memorial Sloan-Kettering Cancer Center Malignant Pleural Mesothelioma Clinical Presentation Insidious
More informationMalignant pleural effusions: treatment with tunneled long-term drainage catheters Jeffrey S. Pollak, MD
Malignant pleural effusions: treatment with tunneled long-term drainage catheters Jeffrey S. Pollak, MD Malignant pleural effusion is a significant cause of morbidity and a poor prognostic indicator. Traditional
More informationMesothelioma. Malignant Pleural Mesothelioma
Mesothelioma William G. Richards, PhD Brigham and Women s Hospital Malignant Pleural Mesothelioma 2,000-3,000 cases per year (USA) Increasing incidence Asbestos (50-80%, decreasing) 30-40 year latency
More informationPrincipal Investigator: Valerie W. Rusch, MD, FACS, Chief, Thoracic Surgery Memorial Sloan-Kettering Cancer Center
Protocol 1101-1088 Phase I study of intra-pleural administration of GL-ONC1 in patients with malignant pleural effusion: primary, metastases and mesothelioma Principal Investigator: Valerie W. Rusch, MD,
More informationSmall cell lung cancer
Small cell lung cancer Small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing organs that are found within
More informationLung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available.
Lung Cancer Introduction Lung cancer is the number one cancer killer of men and women. Over 165,000 people die of lung cancer every year in the United States. Most cases of lung cancer are related to cigarette
More informationMalignant Mesothelioma
Malignant Malignant mesothelioma is a tumour originating from mesothelial cells. 85 95% of mesotheliomas are caused by asbestos exposure. It occurs much more commonly in the chest (malignant pleural mesothelioma)
More informationMalignant Mesothelioma
Malignant mesothelioma is a tumour originating from mesothelial cells. 85 95% of mesotheliomas are caused by asbestos exposure. It occurs much more commonly in the chest (malignant pleural mesothelioma)
More informationExtrapleural Pneumonectomy for Malignant Mesothelioma: Pro. Joon H. Lee 9/17/2012
Extrapleural Pneumonectomy for Malignant Mesothelioma: Pro Joon H. Lee 9/17/2012 Malignant Pleural Mesothelioma (Epidemiology) Incidence: 7/mil (Japan) to 40/mil (Australia) Attributed secondary to asbestos
More informationMale. Female. Death rates from lung cancer in USA
Male Female Death rates from lung cancer in USA Smoking represents an interesting combination of an entrenched industry and a clearly drug-induced cancer Tobacco Use in the US, 1900-2000 5000 100 Per Capita
More informationThoracoscopy in Pleural Malignant Mesothelioma
Diagnostic and Therapeutic Endoscopy, 1997, Vol. 3, pp. 147-151 Reprints available directly from the publisher Photocopying permitted by license only (C) 1997 OPA (Overseas Publishers Association) Amsterdam
More informationAnatomy Pleura Visceral Layer outer surface of lung Separates lobes of lung from each other Parietal Layer inner surface chest wall Pleural linings Co
Pleural diseases Dr. JM Nel Department of Pulmonology Pleural diseases Anatomy Empyema Physiology Pleurisy Pleural effusion Spontaneous Pneumothorax Asbestos- related pleural disease 1 Anatomy Pleura Visceral
More informationPleural Diseases. Pleural Diseases. Director, Pulmonary Vascular Program Respiratory Institute Cleveland Clinic FACP, FRCP(C), FCCP, FCCM, FAHA
Pleural Diseases Raed A. Dweik, M.D. FACP, FRCP(C), FCCP, FCCM, FAHA Director, Pulmonary Vascular Program Respiratory Institute Cleveland Clinic Cleveland, OH Effusions: Fluid Transudates Exudates Pus
More informationWhat is Mesothelioma?
What is Mesothelioma? Mesothelioma is a rare type of cancer that develops in the mesothelial cells found in one s body. These cells form membranous linings that surround and protect the body s organs and
More informationTUBERCULOSIS PLEURAL EFFUSION - MANAGEMENT
TUBERCULOSIS PLEURAL EFFUSION - MANAGEMENT Introduction : ETB 15-20% Pleural effusion 20% in non HIV Under reporting because of AFB negative in fluid In HIV patients: EPTB 20% PTB + EPTB 50% Pleural Effusion
More informationDisease/Illness GUIDE TO ASBESTOS LUNG CANCER. What Is Asbestos Lung Cancer? www.simpsonmillar.co.uk Telephone 0844 858 3200
GUIDE TO ASBESTOS LUNG CANCER What Is Asbestos Lung Cancer? Like tobacco smoking, exposure to asbestos can result in the development of lung cancer. Similarly, the risk of developing asbestos induced lung
More informationMesothelioma: Questions and Answers
CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Mesothelioma: Questions
More informationASBESTOS EXPOSURE AND SARCOMATOID MALIGNANT PLEURAL MESOTHELIOMA Gorantla Sambasivarao 1, Namballa Usharani 2, Tupakula Suresh Babu 3
ASBESTOS EXPOSURE AND SARCOMATOID MALIGNANT PLEURAL MESOTHELIOMA Gorantla Sambasivarao 1, Namballa Usharani 2, Tupakula Suresh Babu 3 HOW TO CITE THIS ARTICLE: Gorantla Sambasivarao, Namballa Usharani,
More informationHow To Treat Lung Cancer At Cleveland Clinic
Treatment Guide Lung Cancer Management The Chest Cancer Center at Cleveland Clinic, which includes specialists from the Respiratory Institute, Taussig Cancer Institute and Miller Family Heart & Vascular
More informationA Practical Guide to Advances in Staging and Treatment of NSCLC
A Practical Guide to Advances in Staging and Treatment of NSCLC Robert J. Korst, M.D. Director, Thoracic Surgery Medical Director, The Blumenthal Cancer Center The Valley Hospital Objectives Revised staging
More informationLung Cancer Understanding your diagnosis
Lung Cancer Understanding your diagnosis Lung Cancer Understanding your diagnosis When you first hear that you have cancer you may feel alone and afraid. You may be overwhelmed by the large amount of information
More informationINTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project
INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project Data Forms and Fields in CRAB Electronic Data Capture System - Reduced Set - Pivotal data elements for developing
More informationPleural controversy: Pleurodesis versus indwelling pleural catheters for malignant effusionsresp_1986 747..754
INVITED REVIEW SERIES: PLEURAL DISEASE SERIES EDITORS: JOSÉ M. PORCEL AND Y.C. GARY LEE Pleural controversy: Pleurodesis versus indwelling pleural catheters for malignant effusionsresp_1986 747..754 PAUL
More informationGRANT APPLICATION FORM: ORGANISING AN ESO EDUCATIONAL EVENT
GRANT APPLICATION FORM: ORGANISING AN ESO EDUCATIONAL EVENT 1) TOPIC OF THE EVENT MALIGNANT PLEURAL DISEASE 2) SUGGESTED TITLE : Approach to Pleural Cancer: State-of-the-Art 3) TYPE OF EVENT Course Native
More informationThe lungs What is lung cancer? How common is it? Risks & symptoms Diagnosis & treatment options
Why We re Here The lungs What is lung cancer? How common is it? Risks & symptoms Diagnosis & treatment options What Are Lungs? What Do They Do? 1 Located in the chest Allow you to breathe Provide oxygen
More informationLung Cancer. Understanding your diagnosis
Lung Cancer Understanding your diagnosis Lung Cancer Understanding your diagnosis When you first hear that you have cancer, you may feel alone and afraid. You may be overwhelmed by the large amount of
More informationPrimary -Benign - Malignant Secondary
TUMOURS OF THE LUNG Primary -Benign - Malignant Secondary The incidence of lung cancer has been increasing almost logarithmically and is now reaching epidemic levels. The overall cure rate is very low
More informationA 53-year-old woman presented in September 1991 to Adiyaman State Hospital with pain on the left side of the chest, dyspnoea, and dry cough.
Mesotelioma de pulmão - DR H. Ziya Ozel - Nerium oleander Nerium oleander Usou ANVIRZEL extrato da planta CASE REPORT Diagnosis: Mesothelioma - HD A 53-year-old woman presented in September 1991 to Adiyaman
More informationSurvey of Mesothelioma Associated with Asbestos Exposure in Japan
The research and development and the dissemination projects related to the 13 fields of occupational injuries and illnesses Survey of Mesothelioma Associated with Asbestos Exposure in Japan Clinical characteristics
More informationMesothelioma. 1. Introduction. 1.1 General Information and Aetiology
Mesothelioma 1. Introduction 1.1 General Information and Aetiology Mesotheliomas are tumours that arise from the mesothelial cells of the pleura, peritoneum, pericardium or tunica vaginalis [1]. Most are
More informationMesothelioma. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com ocft0101 Last reviewed: 03/21/2013 1
Mesothelioma Introduction Mesothelioma is a type of cancer. It starts in the tissue that lines your lungs, stomach, heart, and other organs. This tissue is called mesothelium. Most people who get this
More informationMESOTHELIOMA. Not Just a Late Night Commercial. Graciela Hoal, RN, MSN, ACNP-BC
MESOTHELIOMA Not Just a Late Night Commercial Graciela Hoal, RN, MSN, ACNP-BC Saturday Session Thoracic Surgery Nurse Practitioner Greater Los Angeles Veteran Affairs Objectives Course Objectives: Discuss
More informationThe Need for Accurate Lung Cancer Staging
The Need for Accurate Lung Cancer Staging Peter Baik, DO Thoracic Surgery Cancer Treatment Centers of America Oklahoma Osteopathic Association 115th Annual Convention Financial Disclosures: None 2 Objectives
More informationBTS Pleural Disease Guideline 2010
ISSN 2040-2023 August 2010 BTS Pleural Disease Guideline 2010 A Quick Reference Guide British Thoracic Society www.brit-thoracic.org.uk BTS PLEURAL DISEASE GUIDELINE 2010 A QUICK REFERENCE GUIDE British
More informationHow To Diagnose And Treat A Tumour In An Effusion
Effusions of the Serous Cavities Annika Dejmek Professor/Consultant in Cytopathology Clinical Pathology; Department of Laboratory Medicine, Malmö, Lund University 5th EFCS Tutorial Trondheim 2012 Pleura
More informationExploring the Role of Vitamins in Achieving a Healthy Heart
Exploring the Role of Vitamins in Achieving a Healthy Heart There are many avenues you can take to keep your heart healthy. The first step you should take is to have a medical professional evaluate the
More informationFVMA 2015: Diagnosis and Management of Pericardial Disease PERICARDIAL EFFUSION Pathophysiology of Cardiac Tamponade
FVMA 2015: Diagnosis and Management of Pericardial Disease Jonathan A. Abbott, DVM, Dipl. ACVIM (Cardiology) VA-MD College of Veterinary Medicine Virginia Tech, Blacksburg, Virginia Pericardial disease
More informationUnderstanding Your Surgical Options for Lung Cancer
Information Booklet for Patients Understanding Your Surgical Options for Lung Cancer Understanding Lung Cancer If you have just been diagnosed with lung cancer, this booklet will serve as an informational
More informationCPT codes are for information only; consult your payer organization for reimbursement information.
CPT codes are for information only; consult your payer organization for reimbursement information. Coverage for Spirometry/Oximetry Spirometry is a component of pulmonary function testing (PFTs). PFTs
More informationUNIVERSITA' DEGLI STUDI DI ROMA TOR VERGATA
SYSTEMATIC PATHOLOGY I IIIYear Scientific Field DISCIPLINE TUTOR Systematic Pathology I MED/21 MED/10 Thoracic Surgery Respiratory Diseases Tommaso Claudio Mineo Paola Rogliani MED/10 Respiratory Diseases
More informationLIVER TUMORS PROFF. S.FLORET
LIVER TUMORS PROFF. S.FLORET NEOPLASM OF LIVER PRIMARY 1)BENIGN 2)MALIGNANT METASTATIC/SECONDARY LIVER Primary Liver Cancer the Second Killer among tumors high morbidity and mortality(20.40/100,000) etiology
More informationSMALL CELL LUNG CANCER
Protocol for Planning and Treatment The process to be followed in the management of: SMALL CELL LUNG CANCER Patient information given at each stage following agreed information pathway 1. DIAGNOSIS New
More informationPericardium. Pericardial Diseases. Function of Pericardium 10/1/2012
NO LASIX, PLEASE! PERICARDIAL DISEASE IN THE DOG Pericardium Michael Luethy, DVM Diplomate ACVIM Cardiology September 13 th, 2012 Tough, outer, parietal pericardium Delicate, serous, visceral pericardium
More informationProbe: Could you tell me about when?
PERIODIC ASSESSMENT OF TREATMENT AND VITAL/DISEASE STATUS Periodic Assessment of Cancer Treatment and Disease Status (To be administered to patient at 3 months and reviewed at 6, 9 and 12 months) Instructions:
More informationFacing Lung Cancer? Learn why da Vinci Surgery may be your best treatment option for lung cancer.
Facing Lung Cancer? Learn why da Vinci Surgery may be your best treatment option for lung cancer. The Condition: Lung Cancer The lung is the organ that moves oxygen through your body. You have two lungs
More informationGeneral Information About Non-Small Cell Lung Cancer
General Information About Non-Small Cell Lung Cancer Non-small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing
More informationL Lang-Lazdunski, A Bille, S Marshall, R Lal, D Landau, J Spicer
Pleurectomy/decortication, hyperthermic pleural lavage with povidone-iodine and systemic chemotherapy in malignant pleural mesothelioma. A 10-year experience. L Lang-Lazdunski, A Bille, S Marshall, R Lal,
More informationNEEDLE THORACENTESIS Pneumothorax / Hemothorax
NEEDLE THORACENTESIS Pneumothorax / Hemothorax By: Steven Jones, NREMT-P Pneumothorax Pneumothorax is a collection of air or gas in the pleural space of the lung, causing the lung to collapse. Pneumothorax
More informationInfluenza (Flu) Influenza is a viral infection that may affect both the upper and lower respiratory tracts. There are three types of flu virus:
Respiratory Disorders Bio 375 Pathophysiology General Manifestations of Respiratory Disease Sneezing is a reflex response to irritation in the upper respiratory tract and is associated with inflammation
More informationMalignant Pleural Mesothelioma. NCCN Guidelines for Patients
Malignant Pleural Mesothelioma NCCN Guidelines for Patients Presented with support from the national law firm of Baron & Budd Also available at NCCN.com About this booklet Its purpose Learning that you
More informationA Case of Advanced Malignant Pleural Mesothelioma Treatment with Chemotherapy and Photodynamic Therapy
CASE REPORT http://dx.doi.org/10.4046/trd.2015.78.1.36 ISSN: 1738-3536(Print)/2005-6184(Online) Tuberc Respir Dis 2015;78:36-40 A Case of Advanced Malignant Pleural Mesothelioma Treatment with Chemotherapy
More informationCHAPTER 1: THE LUNGS AND RESPIRATORY SYSTEM
CHAPTER 1: THE LUNGS AND RESPIRATORY SYSTEM INTRODUCTION Lung cancer affects a life-sustaining system of the body, the respiratory system. The respiratory system is responsible for one of the essential
More informationRecent Advances in the Diagnosis and Management of Malignant Pleural Effusions
SYMPOSIUM MALIGNANT ON SOLID PLEURAL TUMORS EFFUSIONS Recent Advances in the Diagnosis and Management of Malignant Pleural Effusions JOHN E. HEFFNER, MD, AND JEFFREY S. KLEIN, MD Malignant pleural effusions
More informationControlling symptoms of mesothelioma
Controlling symptoms of mesothelioma This information is an extract from the booklet Understanding mesothelioma. You may find the full booklet helpful. We can send you a free copy see page 9. Contents
More informationCytology : first alert of mesothelioma? Professor B. Weynand, UCL Yvoir, Belgium
Cytology : first alert of mesothelioma? Professor B. Weynand, UCL Yvoir, Belgium Introduction 3 cavities with the same embryologic origin the mesoderme Pleura Exudates Pleura Peritoneum Pericardium 22%
More informationManagement of Non-Small Cell Lung Cancer Guide for General Practitioners
Management of n-small Cell Lung Cancer Guide for General Practitioners Clinical Stage I Cancer only in one lobe of lung and
More informationManagement of the patient with a symptomatic malignant pleural
1992 A Randomized Comparison of Indwelling Pleural Catheter and Doxycycline Pleurodesis in the Management of Malignant Pleural Effusions Joe B. Putnam, Jr., M.D. 1 Richard W. Light, M.D. 2 R. Michael Rodriguez,
More informationYOUR LUNG CANCER PATHOLOGY REPORT
UNDERSTANDING YOUR LUNG CANCER PATHOLOGY REPORT 1-800-298-2436 LungCancerAlliance.org A GUIDE FOR THE PATIENT 1 CONTENTS What is a Pathology Report?...3 The Basics...4 Sections of a Pathology Report...7
More informationMalignant Mesothelioma Recent Advances
Malignant Mesothelioma Recent Advances Dr AS Paul 04 Aug 06 DM Seminar Malignant mesothelioma A tumour of serosal surfaces Pleura, peritoneum Increasing incidence worldwide Association with asbestos exposure
More informationInstructions for Use
Pleural Effusion Shunt with External Pump Chamber Catalog No. 42-9005 Instructions for Use Denver Biomedical, Inc. Table of Contents Description 2 Indications 2 Contraindications 2 Warnings 4 Cautions
More informationBritish Thoracic Society Standards of Care Committee
250 Thorax 2001;56:250 265 BTS statement Statement on malignant mesothelioma in the United Kingdom British Thoracic Society Standards of Care Committee Correspondence to: Dr J Wiggins, Wexham Park Hospital,
More informationDiseases of peritoneum Lect. Al Qassim University, Faculty of Medicine Phase II Year III, CMD 332 Pathology Department 31-32
Diseases of peritoneum Lect Al Qassim University, Faculty of Medicine Phase II Year III, CMD 332 Pathology Department 31-32 Describe the etiology, pathogenesis and types of peritonitis Define ascites and
More informationSmoking and misuse of certain pain medicines can affect the risk of developing renal cell cancer.
Renal cell cancer Renal cell cancer is a disease in which malignant (cancer) cells form in tubules of the kidney. Renal cell cancer (also called kidney cancer or renal adenocarcinoma) is a disease in which
More informationApril 2015 CALGARY ZONE CLINICAL REFERENCE PULMONARY CENTRAL ACCESS & TRIAGE
April 2015 CALGARY ZONE CLINICAL REFERENCE CENTRAL ACCESS & TRIAGE Introduction Pulmonary consulting services are organized through the Calgary Zone Pulmonary Central Access and Triage (PCAT). Working
More informationMalignant pleural mesothelioma: outcome of limited surgical management
Interactive Cardiovascular and Thoracic Surgery 2 (2003) 30 34 Institutional review Thoracic general Malignant pleural mesothelioma: outcome of limited surgical management Peter G. Phillips a, George Asimakopoulos
More informationTreatment Algorithms for the Management of Lung Cancer in NSW Guide for Clinicians
Treatment Algorithms for the Management of Lung Cancer in NSW Guide for Clinicians Background The Cancer Institute New South Wales Oncology Group Lung (NSWOG Lung) identified the need for the development
More informationMalignant Pleural Diseases Advances Clinicians Should Know F Gleeson
Malignant Pleural Diseases Advances Clinicians Should Know F Gleeson The following relevant disclosures, conflicts of interest and/ or financial relationships exist related to this presentation: Consultant
More informationMalignant Mesothelioma
Malignant Mesothelioma What is malignant mesothelioma? Malignant mesothelioma is a cancer that starts in cells in the linings of certain parts of the body, especially in the linings of the chest or abdomen.
More informationThymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available.
Thymus Cancer Introduction Thymus cancer is a rare cancer. It starts in the small organ that lies in the upper chest under the breastbone. The thymus makes white blood cells that protect the body against
More informationLung cancer forms in tissues of the lung, usually in the cells lining air passages.
Scan for mobile link. Lung Cancer Lung cancer usually forms in the tissue cells lining the air passages within the lungs. The two main types are small-cell lung cancer (usually found in cigarette smokers)
More informationunderstanding mesothelioma
C U R E P R E S E N T S understanding mesothelioma u n d e r s t a n d i n g m e s o t h e l i o m a Copyright 2009 by CURE Media Group, L.P. Published by CURE Media Group 3102 Oak Lawn, Suite 610 Dallas,
More informationTreating Mesothelioma - A Quick Guide
Treating Mesothelioma - A Quick Guide Contents This is a brief summary of the information on Treating mesothelioma from CancerHelp UK. You will find more detailed information on the website. In this information
More information