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Abstract：
Pleural metastasis is a common occurrence in up to 30% of patients with metastatic cancer. When lung entrapment and loculation of fluid occur, treatment is more difficult and we have named this condition \"oncothorax.\" The malignant adhesions that entrap the lung in an oncothorax are not typically amenable to surgical decortication. The standard approach for managing these patients is to place an indwelling catheter. Other options may include pleurectomy and decortication, intrapleural hyperthermic chemoperfusion, and intrapleural photodynamic therapy. However, these procedures should be provided selectively depending on patient performance status, extent of metastatic disease, and level of experience.
摘要：
胸膜转移在多达30％的转移性癌症患者中很常见。当发生肺部滞留和液体定位时，治疗更加困难，我们将这种情况命名为“胸痛”。“将肺包裹在胸部的恶性粘连通常不适合手术剥皮。管理这些患者的标准方法是放置留置导管。其他选择可能包括胸膜切除术和去皮手术，胸膜腔内热灌注，和胸膜内光动力疗法。然而,这些程序应根据患者的表现状态有选择地提供，转移性疾病的程度，和经验水平。
