Prevalence and characteristics of pleural effusions in superior vena cava syndrome

Respirology : Official Journal of the Asian Pacific Society of Respirology
Todd W RiceRichard W Light

Abstract

The prevalence and characteristics of pleural effusions occurring in adults with the superior vena cava (SVC) syndrome are unknown. The purpose of the present study was to characterize these pleural effusions. Charts of patients diagnosed with SVC syndrome at a tertiary care referral centre were reviewed. Radiographs were evaluated for the presence and size of pleural effusions, presence and location of masses and mediastinal width. If a pleural effusion was present, the patient's chart and a pre-existing database on pleural effusions were searched to determine whether the effusion was sampled and the results of any laboratory investigations on the fluid. The SVC syndrome occurred in 78 patients. Malignancy was the aetiology in 60% of the cases and bronchogenic carcinoma was the most common malignancy. An intravascular device was the aetiology in the majority of benign cases. Pleural effusion was found in 70% of patients with a malignant aetiology and 58% of those with a benign cause (P=0.345). The mean size of the effusions was larger in malignant cases (P=0.012). Of the 44 effusions 22 were sampled (17 in malignancy and five with benign processes); none was transudates, 20 (91%) were exudative (four of these were chylous) and...Continue Reading

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Citations

May 4, 2007·The New England Journal of Medicine·Lynn D WilsonJoachim Yahalom
Jan 9, 2007·Respirology : Official Journal of the Asian Pacific Society of Respirology·Y C Gary Lee, Richard Beasley
Jan 17, 2008·Respirology : Official Journal of the Asian Pacific Society of Respirology·John E Heffner
Jun 30, 2009·Annals of Thoracic Medicine·Santosh KumarRajendra Prasad
Aug 2, 2008·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·James B YuFrank C Detterbeck
May 22, 2010·Hematology/oncology Clinics of North America·Jonathan F Wan, Andrea Bezjak
Feb 13, 2009·Medicina clínica·Alvaro Pinto Marín, Manuel González Barón
May 19, 2009·Emergency Medicine Clinics of North America·Jonathan F Wan, Andrea Bezjak
Feb 5, 2008·Mayo Clinic Proceedings·John E Heffner, Jeffrey S Klein
Aug 26, 2014·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Choni RinatYaacov Frishberg
Feb 2, 2018·Annals of the American Thoracic Society·David M FerraroDavid G Bell

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