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LETTER TO EDITOR
Year : 2013  |  Volume : 2  |  Issue : 3  |  Page : 159

Pleural effusion in a cancerous patient with acute cerebrovascular accident: A case study


1 Nutritional Clinic, Maefahlaung University Hospital, Bangkok, Thailand
2 Hainan Medical University, China

Date of Web Publication27-Jun-2013

Correspondence Address:
Kamon Chaiyasit
Nutritional Clinic, Maefahlaung University Hospital, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-330X.114144

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How to cite this article:
Chaiyasit K, Wiwanitkit V. Pleural effusion in a cancerous patient with acute cerebrovascular accident: A case study. South Asian J Cancer 2013;2:159

How to cite this URL:
Chaiyasit K, Wiwanitkit V. Pleural effusion in a cancerous patient with acute cerebrovascular accident: A case study. South Asian J Cancer [serial online] 2013 [cited 2019 Sep 20];2:159. Available from: http://journal.sajc.org/text.asp?2013/2/3/159/114144

Dear Editor,

Pleural effusion is an important lung disorder. This problem is an unwanted complication in cancerous patients. The malignant lung effusion due to the lung metastasis indicates advanced disease. [1] However, not all pleural effusions in cancerous patients are malignant. Here, the authors present a case of pleural effusion in a cancerous patient with acute cerebrovascular accident. The patient was male with cholangiocarcinoma and had recently developed acute lacunar brain infarction. This patient had underlying hypercholesterolemia with poor control. The patient had undergone treatment for brain infarction and the acute development of right pleural effusion was observed. First, this problem was suspected to be the malignant effusion. However, no effusion analysis that confirmed malignancy could be derived. The pleural effusion was symptomatically treated by diuretic (Lasix). Interestingly, a good response could be observed. The resolution of the pleural effusion could be derived parallel to the improvement of acute cerebrovascular stroke. The problem of pleural effusion in this case might not be the direct problem due to lung metastasis. The nature of the pleural effusion seems to be benign transudative. Indeed, there is a possible explanation for the pleural effusion in this case. This can be a variant of systemic cholesterol embolization. [2] The poorly controlled hypercholesterolemia could be the starting point inducing acute lacunar infarction of the brain. [2] Also, this could directly cause insult to the pleura and induce pleural effusion. [2] It can be seen that pleural effusion in cancerous patients need not be malignant.

 
  References Top

1.Black LF. The pleural space and pleural fluid. Mayo Clin Proc 1972;47:493-506.  Back to cited text no. 1
    
2.Kollef MH, McCormack MT, Kristo DA, Reddy VV. Pleural effusion in patients with systemic cholesterol embolization. Chest 1993;103:792-5.  Back to cited text no. 2
    




 

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