Current Challenges and Advances in Pleural Disease
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Pulmonology".
Deadline for manuscript submissions: 20 June 2024 | Viewed by 5855
Special Issue Editors
Interests: pleural diseases; interstitial lung diseases; severe asthma
Special Issue Information
Dear Colleagues,
We are pleased to introduce a Special Issue on pleural disease. Respiratory physicians, as well as many other healthcare professionals (e.g., surgeons, internists, oncologists, and infectious diseases specialists), frequently face pleural disorders during their career. They include simple or complicated pleural effusions, pneumothorax, and primary or secondary neoplasms.
Pleural effusion is the most common manifestation of pleural disease and can be due to a wide range of underlying disorders, including cardiovascular and liver diseases, pulmonary infections, malignancies, and systemic inflammatory pathologies.
Identification of the cause is essential to ensure the best treatment and provide prognostic indications.
In recent years, pleural effusion has aroused growing interest in the scientific community. The diagnostic approaches are faster and more accurate, as well as more applicable in most clinical contexts.
More and more therapeutic options are available in the management of pleural effusion and further progress can be expected in the near future regarding interventional techniques and intrapleural treatments to achieve fibrinolysis or pleurodesis.
However, there are still gaps to fill. Current microbiological investigations are negative in many pleural effusions due to tuberculosis or other infections, requiring additional studies and interventions. Integrated scores, including chest ultrasound findings, should be considered to determine the appropriateness of early medical thoracoscopy.
Comparisons should also be made between medical thoracoscopy and video-assisted thoracic surgery in terms of outcomes and complications obtained in different pleural pathologies.
Some pleural effusions remain idiopathic despite all diagnostic efforts and only follow-up clarifies the underlying pathology. Since this is sometimes malignant, reliable predictors are desirable.
Finally, in some circumstances, pleural fluid is evacuated with palliative intent and further evidence could help to understand when discomfort and risks of procedures (thoracentesis, chest tube, pleurodesis, and indwelling catheter) outweigh the benefit to the patient's symptoms.
Original articles and reviews on the diagnosis and management of pleural diseases are welcome in this Special Issue.
Dr. Claudio Sorino
Prof. Dr. David Feller-Kopman
Guest Editors
Manuscript Submission Information
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Keywords
- pleural effusion
- thoracoscopy
- chest tube
- thoracentesis
- pleurodesis
- thoracic ultrasound
- pneumothorax
- malignant pleural mesothelioma
- chylothorax
- hydrothorax
Planned Papers
The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.
1. Recent Advances and Persistent Challenges in Medical Thoracoscopy for Managing Infected Pleural Spaces
2. New perspectives for the treatment of Malignant Pleural Mesothelioma