Malignant pleural effusions are a serious complication of advanced cancer and are often associated with a poor prognosis. A quick diagnostic phase is therefore essential. Imaging techniques allow us to accurately establish the extent of the pleural effusion but not its nature. To define it, the cytological examination of the pleural fluid is important. However, this method determines a diagnostic prompt response only in 2/3 of cases; thus, histological examination through video-assisted pleural biopsiesis necessary. Malignant pleural effusions are often associated with respiratory symptoms, which require immediate treatment. Unfortunately, all approaches are only palliative but are still essential for maintaining the patient’s respiratory balance. Thoracentesisor pleural drainage are life-saving maneuvers but the target of treatment is an improvement of quality of life, implementing all the necessary skills in order to ensure respiratory stability as long as possible. The aim of this series is to identify the best strategies in order to reduce the discomfort of patient, minimizing the impact of the underlying disease on everyday life.
Provenance and Peer Review: This article was commissioned by the editorial office, Journal of Xiangya Medicine for the series “Malignant Pleural Effusion”. The article did not undergo external peer review.
Conflicts of Interest: Both authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/jxym-20-121). The series “Malignant Pleural Effusion” was commissioned by the editorial office without any funding or sponsorship. DD serves as an unpaid editorial board member of Journal of Xiangya Medicine from Nov 2019 to Oct 2021. Both authors served as the unpaid Guest Editors of the series and have no other conflicts of interest to declare.
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Cite this article as: Divisi D, Crisci R. Malignant pleural effusions. J Xiangya Med 2021;6:1.