Malignant pleurisy

Malignant pleurisy
Malignant pleurisy

is a lung condition characterized by the accumulation of fluid in the space between the lungs and the chest wall (pleural cavity). This accumulation of fluid can be caused by a variety of factors, including lung cancer or cancer metastases from other parts of the body (for example: breast cancer, prostate cancer and lymphoma). In general, malignant pleurisy is associated with advanced stages of cancer and may be an indication that the tumor has spread to other parts of the body. . Article content\n \n \n . ro or from the SfatulMedicului mobile application (iOS, Android)\n .

Other symptoms include chest pain, cough, fatigue and loss of appetite. People with malignant pleurisy may also have symptoms associated with the cancer causing the pleurisy, such as weight loss, fever and general weakness. Small pleurisy: they are usually asymptomatic. Large pleurisy: dyspnea, cough, chest discomfort. During the physical examination: percussive dullness (upper limit – Damoiseau curve), reduction of the vesical murmur on auscultation, pain that occurs when the parietal pleura or the chest wall is invaded.

The exact mechanism by which a tumor causes malignant pleurisy is not fully understood, but it is believed to be due to the growth and spread of tumor cells from the lungs or other organs to the pleura, the membrane that covers the lungs and lines the inside of the rib cage. . This growth and expansion can lead to the accumulation of fluid in the pleural space, which can cause compression on the lungs and. Factors that can influence the occurrence of malignant pleurisy:\n. Medical history: People with a history of cancer, especially lung cancer, have a higher risk of developing malignant pleurisy.

Age: People over 60 years old. Gender: Men have a higher risk versus women. Cancer type: Certain types of cancer, such as lung cancer, breast cancer, or ovarian cancer, can increase the risk of developing malignant pleurisy. Cancer stage: People who are diagnosed with an advanced or metastatic cancer have a higher risk of developing malignant pleurisy. Cancer treatment: Certain cancer treatments, such as radiation therapy or chemotherapy, can increase the risk of developing malignant pleurisy.

HIV infection: People infected with HIV have a higher risk of developing malignant pleurisy. . It is important to consider these factors and discuss any concerns about your risk of developing malignant pleurisy with your doctor. . The doctor can recommend preventive measures or a monitoring plan to detect any early signs of this condition.

These investigations can help identify the exact cause of pleurisy and establish an appropriate treatment plan. Diagnostic tests:\r\n\n\n \n \n \n \n \n \n \n\n \n\n \n \n \n . In addition, ultrasound can help guide pleural drainage or biopsy procedures. PET:\r\n. Diagnostic criteria\r\n.

Thoracoscopic pleural biopsy\r\n. Dyspnea (difficulty breathing): the fluid accumulated in the pleura can cause the lungs to stop working properly, which can lead to breathing difficulties and even suffocation. Chest pain: As fluid builds up in the pleura, it can put pressure on the lungs and rib cage, which can cause chest pain. . Infection: the fluid accumulated in the pleura can be a favorable environment for the development of bacteria and other pathogens, which can lead to infections.

Heart failure: Malignant pleurisy can lead to a build-up of fluid around the heart, which can cause heart failure. Superior vena cava syndrome: this can be caused by a tumor compressing the superior vena cava, which can lead to swelling of the face and upper limbs, as well as difficulty breathing. Recurrence of pleurisy: after the initial treatment, fluid can accumulate in the pleura again, which may require additional treatment. Dissemination of the tumor: malignant pleurisy can be a sign that the tumor has spread beyond the lungs and started to invade other organs. Death: malignant pleurisy can be a serious condition and, in severe cases, can lead to death.

Depending on the severity of the condition, treatment for malignant pleurisy may include a combination of: drug therapy, radiotherapy and/or surgery. Drug therapy may include anti-inflammatory or analgesic drugs, as well as chemotherapy. Radiotherapy can be used to reduce the size of the tumor causing the pleurisy. Specific treatment\r\n. - in the case of the presence of pleural metastases, pleurodesis is performed.

- in the case of pleurisy associated with mesothelioma: stage I Butchard will benefit from pleuropneumonectomy/pleurectomy-decortication\r\n. It is also important to carry out regular medical check-ups and to see a doctor when we have symptoms or health problems. Lifestyle changes:\r\n. Reducing stress: Stress can worsen the symptoms of malignant pleurisy, so it is important to reduce your stress levels. Relaxation techniques, such as yoga or meditation, can help reduce stress.

Maintaining a balanced diet: A balanced diet rich in fruits, vegetables, lean protein and complex carbohydrates can help maintain a strong immune system and support overall health. 3. Avoiding smoking: smoking can worsen the symptoms of malignant pleurisy and reduce the effectiveness of the treatment. Practicing regular physical activity: regular physical activity can help maintain overall health and help reduce stress and anxiety. Monitoring symptoms: It is important to monitor your symptoms and report any changes to your doctor.

Compliance with the treatment regimen: it is important to follow the treatment recommended by your doctor to control symptoms and prevent complications. It is important to talk to your doctor about any changes you want to make in your lifestyle. The doctor can help you customize a treatment and care plan that fits your individual needs. Malignant pleurisy is a serious condition that requires immediate and appropriate medical treatment. It is important to carry out regular medical checks and to see a doctor when we have symptoms or health problems.

In addition, we must adopt a healthy lifestyle and avoid exposure to risk factors to reduce the risk of developing this serious condition. With early diagnosis and treatment, the prognosis for patients with malignant pleurisy can be significantly improved, and they can lead long and healthy lives. . Although the prognosis for malignant pleurisy can be dire, appropriate treatment can significantly improve the patient's quality of life and survival time. .

It is important to pay attention to the symptoms and seek medical assistance immediately if any symptom related to the respiratory system appears. Bibliography:\r\n\r\n\r\n\r\n\r\n\n\n \n \n\n \n \n \n\n \n \n . Catalin Copaescu\n . university. Bogdan Mastalier Manolescu\n .

university. Silviu Voinea\n . ALEXANDRU TRESTIOREAN\n \n \n . Alexander Blidaru\n . ALEXANDRU TRESTIOREAN\n \n \n .

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Source : sfatulmedicului.ro

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