METASTATIC PLEURISY: EPIDEMIOLOGICAL, CLINICAL AND THERAPEUTIC ASPECTS
M. Toreis, Az Bazine, Y. Touimri and M. Fetohi
ABSTRACT
Our work is a retrospective study over 3 years, relating to 40 cases of neoplastic pleurisy collected at the oncology department of the Moulay Ismail Meknes military hospital during the period from January 2017 to December 2019. We examined the epidemiological and clinical profile. and etiological, as well as the therapeutic modalities of this affection. The ages of our patients ranged from 50 years to 86 years with an average age of 62.75 years and a clear predominance of men (sex ratio = 7). The average consultation time was 66.02 days on average. The functional signs were dominated by dyspnea in 87.5% of cases. Clinical fluid effusion syndrome was present in all patients. Surgical thoracoscopy allowed histological diagnosis in 75% of cases. The aetiologies were dominated by lung cancer in 55% of cases followed by breast cancer in 20% of cases. Treatment was based on repeated pleural punctures (35%), placement of a tunneled pleural drain (7.5% of cases) and pleural talcage (75% of cases). Systemic treatment of neoplastic pathology depended on the location and histological type of the tumor. Overall survival was on average 6.6 months.
Keywords: Surgical thoracoscopy allowed histological diagnosis in 75% of cases.
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