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Counterpoint: Should Thoracoscopic Talc Pleurodesis Be the First Choice Management for Malignant Pleural Effusion? NoThoracoscopic Talc Pleurodesis? No

Richard W. Light, MD, FCCP
Author and Funding Information

From the Division of Allergy, Pulmonary, Immunology and Critical Care, Vanderbilt University.

Correspondence to: Richard W. Light, MD, FCCP, Vanderbilt University, 2201 W End Ave, Nashville, TN 37235; e-mail: rlight98@yahoo.com

Financial/nonfinancial disclosures: The author has reported to CHEST the following conflicts of interest: Dr Light has been on the advisory board of and is a consultant to CareFusion, which makes the Pleurx indwelling catheter, and CareFusion has provided support for some of his speaking engagements.


Financial/nonfinancial disclosures: The author has reported to CHEST the following conflicts of interest: Dr Light has been on the advisory board of and is a consultant to CareFusion, which makes the Pleurx indwelling catheter, and CareFusion has provided support for some of his speaking engagements.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2012;142(1):17-19. doi:10.1378/chest.12-1087
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Malignancy is one of the most common causes of exudative pleural effusion, with approximately 200,000 cases occurring annually in the United States.1 Many patients with malignant effusions have the quality of their life diminished by shortness of breath. If the shortness of breath is relieved with a therapeutic thoracentesis, then consideration should be given to proceeding with a procedure that will prevent the accumulation of pleural fluid. If the patient is not symptomatic from the pleural effusion, no treatment is recommended. Most patients who have small effusions that do not produce symptoms never become symptomatic.2

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