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1.
Orv Hetil ; 163(26): 1015-1022, 2022 Jun 26.
Article in English | MEDLINE | ID: covidwho-1963091

ABSTRACT

INTRODUCTION: Malignant pleural effusion is a complication of tumors heralding poor outcome. It may be life-threatening, so advanced cases should be treated as an oncological emergency. OBJECTIVE: We aimed to provide complex care to patients with malignant pleural effusion during the COVID-19 pandemic at the University of Pécs Medical School, in the Department of Oncotherapy. During the pandemic, we introduced the thoracocentesis as a routine method in our department without previous experiences. METHOD: Results of diagnosing and treating pleural effusion of patients between March 18th of 2020 and May 31st of 2021 were summarized. RESULTS: We have analyzed data of 45 patients, two-thirds (66.7%) of them were women, the median age was 67 years. 57.8% of patients received systemic anticancer therapy during the study. The total number of thoracocentesis was over 120, one-third of the patients required more than five interventions. Only three iatrogenic pneumothorax cases were detected, no other serious complications were experienced. The procedures - that were aimed to mitigate symptoms in most cases (80%) - were considered successful. However, 48.9% of the patients were no longer alive at the end of the study period indicating very poor prognosis of pleural carcinosis. DISCUSSION AND CONCLUSION: Clinical care of oncological patients was continuous during the pandemic; patients treated as part of emergency care were often seen in advanced disease state. Treatment of malignant pleural effusion requires oncological foresight as well as implementing an invasive approach. Our study has shown that discussion of the topic is relevant, may reveal difficulties and need for improvement. Our results are consistent with literature data, we have experienced less complications than reported in the literature. Orv Hetil. 2022; 163(26): 1015-1022.


Subject(s)
COVID-19 , Pleural Effusion, Malignant , Pleural Effusion , Pneumothorax , Aged , COVID-19/complications , Female , Humans , Male , Pandemics , Pleural Effusion/therapy , Pleural Effusion, Malignant/etiology , Pleural Effusion, Malignant/therapy , Pneumothorax/therapy
2.
Clin Med (Lond) ; 21(6): e561-e566, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1551865

ABSTRACT

Over 50 systemic conditions may affect the pleura and, thus, unilateral pleural effusions may present for a variety of reasons. Investigating the cause is essential to providing appropriate management. Various pleural interventions are available in current practice, but have varying diagnostic sensitivity. It is, therefore, vital to consider the intervention with the highest diagnostic yield appropriate to the particular clinical situation. The diagnostic pathway in unilateral pleural effusion is increasingly outpatient based, avoiding hospitalisation, which is particularly relevant with the recent COVID-19 pandemic.


Subject(s)
COVID-19 , Pleural Effusion , Humans , Pandemics , Pleural Effusion/diagnosis , Pleural Effusion/therapy , SARS-CoV-2 , Thoracoscopy
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