72 - Diagnosis and Management of Pleural Metastases and Malignant Effusion in Breast Cancer

Abstract

Pleural metastases and malignant pleural effusion may occur with metastatic breast cancer. Presentation can vary widely from an incidental finding on imaging to a large effusion with severe dyspnea. Any pleural effusion in a breast cancer patient can be suspected to be a malignant effusion until proven otherwise. The focus of the clinician should be to provide the most efficient, accurate diagnosis with the least risk of complication and pain for the patient. This chapter reviews diagnosis and management of malignant pleural and pericardial effusions.