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Doctor insights on: Lung Cancer With Pleural Effusion

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Dr. Barry Rosen
4,351 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Pleural effusion in a pt with lung cancer. Do you drain it?

Pleural effusion in a pt with lung cancer. Do you drain it?

Only if symptomatic: High likelihood for recurrence so only if severe short of breath. ...Read more

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Are all pleural effusion from stage 4 lung cancer malignant?

Are all pleural effusion from stage 4 lung cancer malignant?

Confusing: Question. Pleural effusions from lung cancer are expected to have malignant cells but could be pneumonic from secondary infections. ...Read more

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My father 70+ had VATS lobectomy 1 yr ago due to stg 1 lung cancer. X-ray taken today however revealed pleural effusion. Anything to worry?

My father 70+ had VATS lobectomy 1 yr ago due to stg 1 lung cancer. X-ray taken today however revealed pleural effusion. Anything to worry?

Ask surgeons....: Having pleural effusion one year after VATS labectomy for lung cancer naturally leads one to consider cancerous recurrence - alarming & worrisome. At this time, just be timely followed by his doctors so to decide what could be the potentially next step of care. How to get all related things done correctly? Follow instructions in https://ebettercare.com/feel-become-sick/. All the best to his health ...Read more

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Is it possible that CT scan shows no pleural masses while I have lung cancer and massive effusion?

Is it possible that CT scan shows no pleural masses while I have lung cancer and massive effusion?

Unusual but yes.: CT scans have limited resolution. They do NOT see everything. Usually large pleural effusions come from significant disease, but not always cancer. The only way to tell is to have the pleural effusion drained & sent for cytology & other testing (culture). The lab techs can spin down the fluid, isolate cells or bacteria that may be causing it. Talk to a pulmonologist or your primary doc. Good luck! ...Read more

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Does no focal consolidation, no effusion, or obvious pneumothorax in X-ray mean I should not stress myself out about having lung cancer?

Does no focal consolidation, no effusion, or obvious pneumothorax in X-ray mean I should not stress myself out about having lung cancer?

Stop worrying: This is good news. Try to stop smoking. One cause of a longstanding cough that baffles doctors is cough-variant asthma -- perhaps you have this. Best wishes. ...Read more

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How long will someone with non small cell lung cancer with a plural effusion survive?

How long will someone with non small cell lung cancer with a plural effusion survive?

Poor prognosis: If it has not metastasized it is called a wet stage 3 b and in new classification it is stage 4 the prognosis is bad 9 months to a year with modern chemotherapy it is somewhat better but still very limited nber of patients survive beyond a year. ...Read more

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I have been told I have pleural effusion, caused by a lung infection, but I am on holiday can it wait til I get home to get treated?

I have been told I have pleural effusion, caused by a lung infection, but I am on holiday can it wait til I get home to get treated?

It would be unwise: to wait as potentially there could be a rapid progression of both fluid production and spread of infection. It could be so rapid that you would die before appropriate management could even be initiated. You might be sad about missing holiday this year but at least you will be alive to have a holiday next year. ...Read more

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What does it mean to have a small pleural effusion? Cancer?

What does it mean to have a small pleural effusion? Cancer?

May be due to spread: Plural cavity ( the space around lungs) normally will have very small amount fluid for lubrication around the lungs and chest wall. When detectable amount accumulates could be due to cancer cells deposits or could be due to heart&lung diseases( non cancers). ...Read more

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What type of cancer generally cause pleural effusion in males?

What type of cancer generally cause pleural effusion in males?

Any cancer in lung: Any cancer that originates in the lung or spreads to lung from other organs can cause pleural effusion. Other than primary lung cancer, cancers from intestine, liver, adrenal, prostate, pancreas, stomach etc can all spread to the lungs. ...Read more

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Does pleural effusion create pressure on lungs?

Does pleural effusion create pressure on lungs?

It can: Pleural effusion i fluid collection in the space around the lungs. There are many causes. The fluid can compress the lung making it difficult to breathe. It may need to be drained. ...Read more

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What is outcome for patient with end stage metastatic lung cancer & extreme pleural thickening (benign)? Has to have injections to liquefy & extract.

Metastatic lung Ca: ...Is fatal in nearly all circumstances but the time course varies on tumor type, treatment and what organs are involved in the spread. The fluid in the chest may or maynot have cancer cells, but is likely malignancy associated at least. Repeat drainage procedures are reasonable. A catheter that remains in place is an option if it recurs frequently. Pleurodesis is option, but look at risk/benefit. ...Read more

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Is a pleural effusion serious? Is it usually a sign of cancer?

Is a pleural effusion serious?  Is it usually a sign of cancer?

Sometimes: Pleural effusions can occur for a variety of reasons. Cancer is a cause of pleural effusion. How serious it is generally depends upon the underlying cause and the amount of fluid. Temporary relief can be achieved with drainage of the effusion (called thoracentesis). ...Read more

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Goodmorning. Which are the differences between pleural effusion end pulmonary edema on lung auscultation?

Goodmorning. Which are the differences between pleural effusion end pulmonary edema on lung auscultation?

Opposites: B"sd
yes decreased or absent Breath Sounds with effusion, rales and rhonci with edema
at least in the old days - However, I hardly auscultate these days. ...Read more

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Can you have small pleural effusion in both lungs post pneumonia being only in left?

Yes: Effusion appears due to infection, but also when you not taking deep breaths. So, even if infection one on one side, it's hard to take breath all together. You need to do some Yoga Breathing. May cause some coughing, but may help to open up those lungs. ...Read more

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Should I worry about small atelectasis and small pleural effusion in my lungs 6 weeks after pneumonia? I'm worried

Should I worry about small atelectasis and small pleural effusion in my lungs 6 weeks after pneumonia? I'm worried

Probably normal: These changes are typical after pneumonia, but should resolve within 6-12 weeks. Ask whomever was treating you for the pneumonia about the need for a follow up chest X-ray in a couple months. Hope this helps! ...Read more

Dr. Tony Su Dr. Su
1 doctor agreed:
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Cardiomediastinal silhouette. Lungs are clear. No pleural effusion or pneumothorax. Do I have heart murmur?

Dr. Tony Su Dr. Su
1 doctor agreed:
Cardiomediastinal silhouette. Lungs are clear. No pleural effusion or pneumothorax. Do I have heart murmur?

Heart sounds: Heart murmurs are found while listening to the heart with a stethoscope and evaluated with an echocardiogram (ultrasound of the heart) to determine it poses a problem. Chest x-ray can show complications of having heart murmurs from valve problems such as heart failure and enlarged heart chambers. ...Read more

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If you have pleural effusion, does the liquid collect to the lower parts of the lung when sitting? Doctor only checked lower part of back with doppler

If you have pleural effusion, does the liquid collect to the lower parts of the lung when sitting? Doctor only checked lower part of back with doppler

Yes: Rarely, the fluid collection gets walled in and become fixed. But otherwise the collection will fill the lower parts first on gravitational force. ...Read more

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Do pleural effusion, enlarged heart, abnormal looking lungs, kidney lesion (def not kidney infect) & esophagus "grit" have anything in common?

Do pleural effusion, enlarged heart, abnormal looking lungs, kidney lesion (def not kidney infect) & esophagus "grit" have anything in common?

Complex problem: Certainly, CHF can lead to repercussions to the other organ systems you mentioned. Unfortunately, this format is not capable of diagnosing and explaining all that may be going on. I would start by seeing a cardiologist. ...Read more

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Hx of pericarditis and pleurisy,pleural effusion. Been sleeping in recliner x 1yr. Pain inc and feels like drowning when lie flat.Heart or lungs?

Hx of pericarditis and pleurisy,pleural effusion. Been sleeping in recliner x 1yr.  Pain inc and feels like drowning when lie flat.Heart or lungs?

Cause of conditions: All three of these conditions are very serious. I would probably start by seeing an internal medicine doctor and & let him/her sort out what is going on and make any referrals that may be necessary.

If you are not in distress currently, call to make an urgent appointment in the morning. If you are in pain and /or short of breath, then call 911 and be taken to the emergency room now. ...Read more

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Have lung nodules that are growing &massive chest pain(heart is fine) could this be a pleural effusion?Should i be worried?Worse when i breathe deeply

Have lung nodules that are growing &massive chest pain(heart is fine) could this be a pleural effusion?Should i be worried?Worse when i breathe deeply

Yes, go to the DR.: Yes, that does not sound good, you need to be seen right away. You could have a pleural effusion, but that does not explain the nodules . I assume you had a chest x-ray? Someone sent you in for that , right?....Better go back and get fully evaluated. ...Read more

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Stage IV metastatic breast cancer and pleural effusion. What is treatment?

Stage IV metastatic breast cancer and pleural effusion. What is treatment?

It depends: Breast cancers come in many "flavors", and this will determine the treatment. Usually it's a form of chemotherapy given by mouth or by vein. Xeloda is given by mouth, and there are many intravenous chemotherapies. Sometimes hormone blocking medications are very effective if the cancer has the estrogen or Progesterone receptor on its surface. Herceptin (trastuzumab) is useful if it has her2 on its surface. ...Read more

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My dad has pleural effusion on his lung, swollen n painful tummy, horrendous cough, weightloss, struggling for breath. Wat could be wrong?

My dad has pleural effusion on his lung, swollen n painful tummy, horrendous cough, weightloss, struggling for breath. Wat could be wrong?

Need evaluation: It is difficult to say exactly what organ involved. It can be liver. Heart . This problem need full complete evaluation and would need testing. ...Read more

Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


Dr. Sue Ferranti
626 doctors shared insights

Fluid In The Lungs (Definition)

Fluid around lungs has many causes. It can be exudate(thick i.E pus from infection, malignancy etc) or transudative(heart failure). It may be treated based on the problem found by sampling(thoracentesis). Labs on the fluid help the clinician determine the etiology. For recurring pleural fluid, sometime pleuradesis is necessary to hep prevent recurrance. Need ...Read more