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Malignant Pleural Effusion

Information                                                                                                                             

A malignant pleural effusion is a build up of fluid containing cancer cells between the membranes that line the lungs. This condition is a sign that the cancer has spread, or metastasized, to other areas of the body. Common cancers that cause malignant effusions include lymphoma and cancers of the breast, lung, and ovary. A malignant pleural effusion is treatable. But it can be a serious and potentially life-threatening condition.

Most common symptoms are shortness of breath, dry cough, pain, feeling of chest heaviness or tightness, inability to lie flat.                                                                                                                   

All invasive pleural interventions should be performed under the auspices of appropriately trained clinicians in the respiratory department. 

M.A & J.W. 02-06-22

Who to refer:

All patients with a cancer diagnosis with symptoms suggestive of a malignant pleural effusion should be discussed with pleural service.

Who not to refer:

If in doubt please do not hesitate to call Acute Oncology teamat the Edinburgh Cancer Centre on 07798774842 or 0131 537 1000 and ask to speak to Acute Oncology teamfor oncology.

How to refer:

The contact email for the pleural service (non urgent referrals) is: PleuralService.WGH@nhslothian.scot.nhs.uk opens a new window or alternatively if more urgent advice is needed contact the respiratory team on call via 0131 537 1000.