Abstract
Malignant pleural effusion caused by breast carcinoma requires a suitable and palliative treatment. Tube thoracostomy with chemical pleurodesis is considered a standard method although the effect has not been satisfactory. Parietal pleurectomy using thoracotomy is highly effective and has been advocated in some reports, but the high operative morbidity and mortality in these moribund patients limits its performance. We adopted video-assisted thoracoscopic pleurectomy (VATP) to treat the malignant pleural effusion of a patient with breast carcinoma, to avoid the usual complications of thoracotomy and to maintain the advantage of the low recurrence rate of parietal pleurectomy.
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