Abstract
Pleural effusion is a frequent complication in the course of disseminated neoplastic disease, and its development poses a variety of important problems in management. Its occurrence, while a manifestation of systemic disease, does not bear a relationship to prognosis, except perhaps in malignant lymphoma. While removal may be necessary for symptomatic relief, repeated thoracentesis may have significant complications. For this reason, ideal treatment should prevent fluid accumulation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Aaronson, A. G., Hajdu, S. I., and Melamed, M. R., 1975, Spinal fluid cytology during chemotherapy of leukemia of the central nervous system in children, Amer. J. Clin. Pathol. 63: 528.
Adler, R. H., and Rappole, B. W., 1967, Recurrent malignant pleural effusions and talc powder aerosol treatment, Surgery 62 (6): 1000.
Aur, R. J. A., Simone, J. V., Hustu, H. O., and Verzosa, M. S., 1972, A comparative study of central nervous sytem irradiation and intensive chemotherapy early in remission of childhood acute lymphocytic leukemia, Cancer 29:381.
Afifi, A. M., 1974, Myeloma cells in the cerebrospinal fluid in plasma cell neoplasia, J. Neurol Neurosurg. Psychiatry 37: 1162.
Anderson, C. B., Philpott, G. W., and Ferguson, T. B., 1974, The treatment of malignant pleural effusions, Cancer 33: 916.
Aur, R. J. A., Simone, J. V., Hustu, H. O., and Verzosa, M. S., 1972, A comparative study of central nervous sytem irradiation and intensive chemotherapy early in remission of childhood acute lymphocytic leukemia, Cancer 29: 381.
Aur, R. J. A., Hustu, H. O., Verzosa, M. S., Wood, A., and Simone, J. V., 1973, Comparison of two methods of preventing central nervous system leukemia, Blood 42: 349.
Bachman, K. P., Foster, C. G., Jackson, M. A., Shershin, P. H., and Oard, H. C., 1954, Radioactive gold instilled intrapericardially: Report of a case, Ann. Intern. Med. 40: 811.
Band, P. R., Holland, J. F., Bernard, J., Weil, M., Walker, M., and Rall, D., 1973, Treatment of central nervous system leukemia with intrathecal cytosine arabinoside, Cancer 32 (4): 744.
Banks, P. M., Arseneau, J. C., Gralnick, H. R., Canellos, G. P., Devita, V. T., JR., and Berard, C. W., 1975, American Burkitt’s lymphoma: A clinicopathologic study of 30 cases, II. Pathologic correlations, Amer. J. Med. 58: 322.
Bender, R. A., 1974, Meningeal carcinomatosis: Treatment with intrathecal methotrexate, Oncology 30: 328.
Benedict, W. F., and Porter, I. A., 1972, Cytogenic studies of malignancy in effusion, Acta Cytol. 16: 304.
Bonte, F. J., Storaasli, J. P., and Weisbérger, A. S., 1956, Comparative evaluation of radioactive colloidal gold and nitrogen mustard in the treatment of serous effusions of neoplastic origin, Radiology 67: 63.
Borja, E. R., and Pugh, R. P., 1973, Single-dose quinacrine (atabrine) and thoracostomy in the control of pleural effusions in patients with neoplastic diseases, Cancer 31: 899.
Buckdeschel, J. C., Chang, P., Martin, R. G., Byhardt, R. W., O’connel, M. J., Sutherland, J. C., and Wiernik, P. H., 1975, Radiation-related pericardial effusions in patients with Hodgkin’s disease, Medicine 54 (3): 245.
Bunn, P. A., JR., Schein, P. S., Banks, P. M., and Devita, V. T., JR., 1976, Central nervous system complications in patients with diffuse histiocytic and undifferentiated lymphoma: Leukemia revisited, Blood 47 (1): 3.
Camishion, R. C., Gibbon, J. H., JR., and Nealon, T. F., JR., 1962, Talc poudrage in the treatment of pleural effusion due to cancer, Surg. Clin. N. Amer. 42:1521.
Card, R. Y., Cole, D. R., and Hensckke, U. K., 1960, Summary of ten years of the use of radioactive colloids in intracavitary therapy, J. Med. 1:195.
Carr, D. T., and Power, M. H., 1958, Clinical value of measurements of concentration of protein in pleural fluid, N. Engl. J. Med. 259: 926.
Charkes, N. D., and Sklaroff, D. M., 1963, Radioisotope photoscanning as a diagnostic aid in cardiovascular disease, J. Amer. Med. Assoc. 186: 920.
Clarkson, B., 1964, Relationship between cell type, glucose concentration, and response to treatment in neoplastic effusions, Cancer 17: 914.
Dines, D. E., Elveback, L. A., and Mccall, J. T., 1974, Zinc, copper and iron contents of pleural fluid in benign and neoplastic disease, Mayo Clin. Proc. 49:102.
Dollinger, M. R., Krakoff, I. H., and Karnofsky, D. A., 1967, Quinacrine (atabrine) in the treatment of neoplastic effusions, Ann. Intern. Med. 66(2):249.
Duttera, M. J., Bleyer, W. A., Pomeroy, T. C., Leventhal, C. M., and Leventhal, B., 1973, Irradiation, methotrexate toxicity, and the treatment of meningeal leukaemia, Lancet 2: 703.
Dybicki, J., Balchum, O. J., and Meneely, G. R., 1959, Treatment of pleural and peritoneal effusion with intracavitary colloidal radiogold (Au198), Arch. Intern. Med. 104: 802.
Evans, A. E., Gilbert, E. S., and Zandstra, R., 1970, The increasing incidence of central nervous system leukemia in children, Cancer 26: 404.
Fracchia, A. A., Knapper, W. H., Carey, J. T., and Farrow, J. H., 1970, Intrapleural chemotherapy for effusion from metastatic breast carcinoma, Cancer 26: 626.
Fredriksen, R. T., Cohen, L. S., and Mullins, C. B., 1971, Pericardial windows or pericardiocentesis for pericardial effusions, Amer. Heart J. 82 (2): 158.
Galicich, J. H., and Guido, L. J., 1974, Ommaya device in carcinomatous and leukemic meningitis. Surgical experience in 45 cases, Symp. Surg. Oncol. 54 (4): 915.
Garwicz, S., Aronson, A. S., Elmqvist, D., and Landberg, T., 1975, Postirradiation syndrome and EEG findings in children with acute lymphoblastic leukaemia, Acta Paediatr. Scand. 64: 399.
Gelenger, S. M., and Wiggers, R. F., 1949, Relationship of the pleural fluid sugar to pulmonary tuberculosis, Dis. Chest. 15: 325.
Griffin, J. W., Thompson, R. W., Mitchinson, M. J., de KiewieT, J. C., and Welland, F. H., 1971, Lymphomatous leptomeningitis, Amer. J. Med. 51: 200.
Hamers, J., van Hove, W., and Baele, G., 1974, Pyrimethamine in prophylaxis of meningeal leukaemia, Lancet 1: 310.
Hauch, T. W., Shelbourne, J. D., Cohen, H. J., Mason, D., and Kremer, W. B., 1975, Meningeal mycosis fungoides: Clinical and cellular characteristics, Ann. Intern. Med. 82: 499.
Hill, G. J., II, and Cohen, B. I., 1970, Pleural pericardial window for palliation of cardiac tamponade due to cancer, Cancer 26 (1): 81.
Hunder, G. G., Mcduffie, F. C., and Hepper, N. G. G., 1972, Pleural fluid complement in systemic lupus erythematosus and rheumatoid arthritis, Ann. Intern. Med. 76: 357.
Izbick, R., Weyhing, B. T., Baker, L., Cavili, E. M., Vaitkevicius, V. K., and Caoili, E., 1975, Pleural effusion in cancer patients, Cancer 36: 1511.
Jacobs, M. L., 1954, Use of radioactive chromic phosphate in pleural effusions, Calif Med. 81: 268.
Jensik, R., Cagle J., JR., Milloy, F., Perlia, C., Taylor, S., Kofman, S., and Beattie, E. J., JR., 1963, Pleurectomy in the treatment of pleural effusion due to metastatic malignancy, J. Thorac. Cardiovasc. Surg. 46 (3): 322.
Jones, G. R., 1969, Treatment of recurrent malignant pleural effusion by iodized talc pleurodesis, Thorax 24: 69.
Lambert, C. J., Shah, H. H., Urschel, H. C., JR:, and Paulson, D. L., 1967, The treatment of malignant pleural effusions by closed trocar tube drainage, Ann. Thorac. Surg. 3(1):1.
Leininger, B. J., Barker, W. L., and Langston, H. T., 1969, A simplified method for management of malignant pleural effusion, J. Thorac. Cardiovasc. Surg. 58 (5): 758.
Lellington, G. A., Carr, B. T., and Mayne, J. G., 1971, Rheumatoid pleurisy with effusion, Arch. Intern. Med. 128: 764.
Light, R. W., Macgregor, M. I., Luchsinger, P. C., and Ball, W. C., JR., 1972, Pleural effusions: The diagnostic separation of transudates and exudates, Ann. Intern. Med. 77: 507.
Little, J. R., Dale, A. J. D., and Okazaki, H., 1974, Meningeal carcinomatosis, Arch. Neurol. 30:138.
Lokich, J. J., 1973, The management of malignant pericardial effusions, J. Amer. Med. Assoc. 224 (10): 1401.
Martini, N., Bains, M. S., and Beatlie, E. T., JR., 1975, Indications for pleurectomy in malignant effusion, Cancer 35: 734.
Mcintosh, S., Klatskin, E. H., O’brian, R. T., Aspnes, G. T., Kamerer, B. L., Snead, C., Kalavsky, S. M., and Pearson, H. A., 1976, Chronic neurologic disturbance in childhood leukemia, Cancer 37: 853.
Mckee, L. C., JR., and Collins, R. D., 1974, Intravascular leukocyte thrombi and aggregates as a cause of morbidity and mortality in leukemia, Medicine 53 (6): 463.
Mckelvey, E. M., 1968, Meningeal involvement with metastatic carcinoma of the breast treated with intrathecal methotrexate, Cancer 22 (3): 576.
Meyers, M. A., 1973, Distribution of intra-abdominal malignant seeding: Dependency on dynamics of flow of ascitic fluid, Amer. J. Roentgenol. Radium Ther. Nucl. Med. 119:198.
Moore, E. W., Thomas, L. B., Shaw, R. K., and Freireich, E. J., 1960, The central nervous system in acute leukemia, Arch. Intern. Med. 105: 451.
Morganroth, J., Deisseroth, A., Winokur, S., and Schein, P., 1972, Differentiation of carcinomatous and bacterial meningitis, Neurology 22:1240.
Murray, J. M., and Massey, F. M., 1974, Chylous ascites after radiation therapy for ovarian cancer, Obstet. Gynecol. 44 (5): 749.
Pollock, A. V., 1975, The treatment of resistant malignant ascites by insertion of a peritoneo-atrial hotter valve, Br. J. Surg. 62: 104.
Posner, J. B., 1971, Leptominingeal metastasis from systemic cancer, Trans. Amer. Neurol. Assoc. 96: 291.
Price, R. A., and Johnson, W. W., 1973, The central nervous system in childhood leukemia. I. The arachnoid, Cancer 31: 520.
Rosato, F. E., Wallach, M. W., and Rosato, E. F., 1974, The management of malignant effusions from breast cancer, J. Surg. Oncol. 6 (5): 357.
Roy, P. H., Carr, B. T., and Payne, P. S., 1967, The problem of chylothorax, Mayo Clin. Proc. 42: 457.
Rubinson, R., and Bolooki, H., 1972, Intrapleural tetracycline for control of malignant pleural effusion, South. Med. J. 65: 847.
Rubinstein, L. J., Herman, M. M., Long, T. F., and Wilbur, R., JR., 1975, Disseminated necrotizing leukoencephalopathy: A complication of treated central nervous system leukemia and lymphoma, Cancer 35: 291.
Salyer, W. R., Eggleston, J. C., and Erozan, Y. S., 1975, Efficacy of pleural needle biopsy and pleural fluid cytopathology in the diagnosis of malignant neoplasm involving the pleura, Chest 67 (5): 536
Shuford, W. H., Sybers, R. G., Acker, J. J., and Weens, H. S., 1966, A comparison of carbon dioxide and radiopaque angiocardiographic methods in the diagnosis of pericardial effusion, Radiology 86: 1064.
Simone, J. V., Aur, R. J. A., Hustu, H. O., and Verzosa, M., 1975, Acute lymphocytic leukemia in children, Cancer 36: 770.
Smith, F. E., Lane, M., and Hudgins, P. T., 1974, Conservative management of malignant pericardial effusion, Cancer 33 (1): 47.
Soni, S. S., Marten, G. W., Pitner, S. E., Duenas, D. A., and Powazek, M., 1975, Effects of centralnervous-system irradiation on neuropsychologic functioning of children with acute lymphocytic leukemia, N. Engl. J. Med. 293 (3): 113.
Soulen, R. L., Lapayowker, M. S., and Gimenez, T. L., 1966, Echocardiography in the diagnosis of pericardial effusion, Radiology 86: 1047.
Strober, S. J., Klotz, E., Kuperman, A., and Ghossein, N. A., 1973, Malignant pleural disease. A radiotherapeutic approach to the problem, J. Amer. Med. Assoc. 226 (3): 296.
Suhrland, L. G., and Weisberger, A. S., 1965, Intracavitary 5-fluorouracil in malignant effusions, Arch. Intern. Med. 116: 431.
Svanberg, L., and Astedt, B., 1975, Coagulative and fibrinolytic properties of ascitic fluid associated with ovarian tumors, Cancer 35: 1382.
Terry, L. N., JR., and Kligerman, M. M., 1970, Pericardial and myocardial involvement by lymphomas and leukemias; the role of radiotherapy, Cancer 25:1003.
Thomas, L. B., 1965, Pathology of leukemia in the brain and meninges—postmortem studies of patients with acute leukemia and of mice liver inoculations of L1210 leukemia, Cancer Res. 25:1555.
Thorsnud, G. K., 1965, Pleural reactions to irritants, Acta Chir. Scand. Suppl. 335: 1.
Ultmann, J. E., Hyman, G. A., Crandall, C., Naujoks, H., and Gellhorn, A., 1957, Triethylenethiophosphoramide (thioTEPA) in the treatment of neoplastic disease, Cancer 10: 902.
Vonhoff, D. D., and Li Volsi, V., 1975, Diagnostic reliability of needle biopsy of the parietal pleura. A review of 272 biopsies, Amer. J. Clin. Pathol. 64: 200.
Weeth, J. B., and Segaloff, A., 1962, Diuretic therapy for malignant effusion, J. Amer. Med. Assoc. 181 (3): 258.
Weick, J. K., Kiely, J. M., Harrison, E. G., JR., Carr, D. T., and Scanlon, P. W., 1973, Pleural effusion in lymphoma, Cancer 31: 848.
Weinstein, L. D., Scanlon, G. T., and Hersh, T., 1969, Chylous ascites, Amer. J. Dig. Dis. 14 (7): 500.
West, R. J., Graham-Pole, J., Hardisty, R. M., and Pike, M. C., 1972, Factors in pathogenesis of central-nervous-system leukemia, Br. Med. J., 3: 311.
Willoughby, M. L. N., 1974, Treatment of overt meningeal leukaemia, Lancet 1: 363.
Wolk, R. W., Masse, S. R., Conklin, R., and Freireich, E. J., 1974, The incidence of central nervous system leukemia in adults with acute leukemia, Cancer 33 (3): 863.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1977 Plenum Press, New York
About this chapter
Cite this chapter
Papac, R.J. (1977). Treatment of Malignant Disease in Closed Spaces. In: Becker, F.F. (eds) Chemotherapy. Cancer, vol 5. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6628-1_8
Download citation
DOI: https://doi.org/10.1007/978-1-4615-6628-1_8
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4615-6630-4
Online ISBN: 978-1-4615-6628-1
eBook Packages: Springer Book Archive