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(Chest. 1950;18:586-594.)
© 1950 American College of Chest Physicians

Cholesterol Pleural Effusion: A Report of Three Cases with a Cure by Decortication

ALFRED GOLDMAN M.D., F.C.C.P.1 and THOMAS H. BURFORD M.D.1

1 The Department of Internal Medicine and Department of Surgery, Washington University School of Medicine and the Barnes Hospital, St. Louis, Missouri.

1) Three new cases of cholesterol pleural effusion are reported.

2) Complete decortication of the pleura in a patient with cholesterol thorax was done for the first time and resulted in a clinical cure.

3) Cholesterol deposits in the pleura in one case and caseocalcific pleural deposits in a second case were responsible for the high cholesterol content of the fluid and the precipitation of cholesterol crystals.

4) The first case of cholesterol pleural effusion associated with adenocarcinoma of the pleura is described. The tumor was a mucin-producing tumor and brings up the possibility of a connection between mucin production and cholesterol precipitation.






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Copyright © 1950 by the American College of Chest Physicians.