2015, Cilt 25, Sayı 2-3, Sayfa(lar) 007-010
Relationship Between Amount Of Pleural Effusion And Etiology
Canan Doğan1, Fatmanur Çelik Başaran2, Ayşe Özsöz2
1Isparta Devlet Hastanesi, Göğüs Hastalıkları, Isparta, Türkiye
2izmir Dr.Suat Seren Göğüs Hastalıkları ve Cerrahisi Eğitim Arastırma Hastanesi, Göğüs Hastalıkları, İzmir, Türkiye
Keywords: Plevral efüzyon, masif efüzyon, malign efüzyon, sıvı miktarı, hemorajik, Pleural effusion, massive effusion, malignant effusion, amount of fluid, hemorrhagic
Introduction: In our study we aimed to compare the etiology and characteristics of pleural effusions (PE) grouped by fluid amount.
Materials and Methods: 194 consecutive patients diagnosed as PE in our center during 2010-2013 were included in the present prospective study.
Results: Of the 194 patients, 29 (15%) had massive (involved more than 2/3 of hemithorax), 68 (35%) had moderate (involved 1/3-2/3 of hemithorax), and 97 (50%) had mild (involved 1/3 or less of hemithorax) PE. In the massive PE group 48.3% had malignity (p<0.05). The etiologies of the moderate PE were malignity (26.5%), heart failure (22%), and tuberculosis (19.1%). In the mild PE group etiologies were malignity (25.8%), parapneumonic effusion(23.7%), and heart failure (21.7%). Cancer was seen more in massive PE, while parapneumonic effusion was seen more in mild PE (p <0.05). Serofibrinous appearance was the most in all groups. Malignity was the reason in 70.6% of hemoragic collections (p<0.05). Smokers were accounted for 84.4% of malign and paramalign PE and 47.6% of non-malignant situations. This difference was significantly different (p<0.05).
Conclusion: Malignity must be the first diagnosis that comes to mind in massive PE, especially if the fluid is hemoragic and/or the patient is a smoker. It was seen that massive PE decreased the probability for heart failure.
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