TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE最新文献

{"title":"Cancer Type and Initial Pleural Effusion Volume Affect the Rate of Pleurodesis in Patients with Tunneled Pleural Catheters","authors":"R. Bechara, D. Bonta, P. Kirkpatrick","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4764","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4764","url":null,"abstract":"","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124813649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Complications Rate, and Socioeconomic Status, Cancer Type and Race in Patients Receiving Tunneled Pleural Catheter","authors":"R. Bechara, S. Islam, N. Gowda","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4766","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4766","url":null,"abstract":"","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"2003 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127316347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Pleural Effusions Volume and Cytology on Outcomes in Cancer Patients","authors":"R. Bechara, D. Bonta, N. Webb, S. Allen","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4757","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4757","url":null,"abstract":"","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130818025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Histologic Subtype Informs Real-World Immune Checkpoint Inhibitor Uptake in Patients with Malignant Pleural Mesothelioma","authors":"R. Kim, N. Mitra, S. Bagley, M. Marmarelis, A. Haas, K. Rendle, A. Vachani","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4760","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4760","url":null,"abstract":"","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127426420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of Tissue Resident Memory CD8+ T Cells in Malignant Pleural Effusions Associated with Non-Small Cell Lung Cancer","authors":"J. Brotman, J. Thompson, M. Martínez, S. Albelda, E. Moon","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4762","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4762","url":null,"abstract":"","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131163788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Supportive Care Needs in a Highly Specialized Mesothelioma Surgical Treatment Program","authors":"K. Khan, L. Zhan, S. Schmid, K. Dietrich, C. Brown, D. Patel, F. Zaeimi, M. de Perrot, J. Cho, P. Bradbury, G. Liu","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4761","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4761","url":null,"abstract":"","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125546114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mesothelioma of the Tunica Vaginalis: An Extremely Rare Cause of Metastatic Pulmonary Nodules","authors":"H. Freeman, T. Myers, B. Moulton, A. Chen","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4759","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4759","url":null,"abstract":"","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133558437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Straight to Medical Thoracoscopy Approach for Exudative Pleural Effusions - Adapting to the COVID-19 Era","authors":"M. Fayed, M. Gadallah, A. Abdel Hady, M. Shaheen, S. Mourad","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4765","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4765","url":null,"abstract":"Background: medical thoracoscopy (MT) is the gold standard diagnostic test for undiagnosed exudative pleural. The definitive diagnosis of malignancy is possible on pleural fluid only in about 35% of times, and the microbiological yield of TB on pleural fluid is notoriously low. This study aimed to assess the effect of a 'straight to MT' approach on the time from presentation to definitive diagnostic test and the number of unnecessary thoracoscopies done using this approach. Methods: patients presenting with a new pleural effusion with low suspicion pleural infection or a non-pulmonary etiology (e.g. a disease known to cause pleural effusion) were offered a diagnostic aspiration to confirm the effusion was a lymphocytic exudate followed by an MT on the next day. For patients referred with a CT showing obvious pleural malignancy, results of fluid biochemical analysis were not awaited. In patients with gross appearance of pleural malignancy during thoracoscopy and a large pleural effusion at presentation, thoracoscopic pleurodesis was done. A control group of patients with undiagnosed pleural effusion and negative cytology referred to the unit for MT was used. In all patients, chest tube removal and discharge following MT was done on the same day if pleurodesis was not carried out and the patient was stable. Results: Between August and November 2020, 25 patients underwent MT;10 of whom through the straight to MT approach (group 1) and 15 through standard approach (group 2). In group 1, the median (range) time between presentation and procedure was 1 (0-2) days. The etiology was malignancy in 5/10, TB in 4/10 TB and non-specific pleuritis in 1/10. In 1/10 the pleural fluid results were conclusive (metastatic lung cancer), but this patient also underwent pleurodesis during MT. In group 2, the median time from presentation to MT was 12 (7-30) days (p<0.001). The etiology was malignancy in 10/15, non-specific pleuritis in 4/15 and TB in 1/15. None of the 25 patients experienced serious complications at or immediately after thoracoscopy and the median time (range) to discharge was 1 (0-4) days. Conclusion: A straight to MT approach reduces the waiting time to diagnosis, with a small risk of 'over-investigating'. This approach is particularly helpful in the time of COVID to keep the number of encounters with hospital staff a minimum especially with the capacity to combine diagnostic and therapeutic modalities (i.e. pleurodesis) in the same procedure.","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"211 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131683362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repeat Thoracenteses Is Associated with an Increase in Cumulative Risk of Complications in Patients with a Malignant Pleural Effusion","authors":"A. Meggyesy, C. Wilshire, L. Kang, J. Gorden, C. Gilbert","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4758","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4758","url":null,"abstract":"","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130829895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrence of Pericardial Effusion After Different Procedure Modalities in Patients with Non-Small Cell Lung Cancer (NSCLC)","authors":"L. Chang, Y. Kuo, S-G. Wu, J. Shih","doi":"10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4763","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4763","url":null,"abstract":"","PeriodicalId":159693,"journal":{"name":"TP135. TP135 THORACIC ONCOLOGY: MALIGNANT PLEURAL DISEASE","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115296950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}