N.Yu. Smirnova1, M.I. Burmistrov2,3, E.V. Trishin2,3, L.B. Shubin4
1Regional Clinical Cancer Hospital, Yaroslavl
2Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan
3Kazan (Volga Region) Federal University, Institute of Fundamental Medicine and Biology, Kazan
4Yaroslavl State Medical University, Yaroslavl
Smirnova Natalya Yu. ― oncologist of the Regional Clinical Cancer Hospital
67 Oktyabrya Ave., Yaroslavl, Russian Federation, 150054, tel. +7-902-226-99-65, e-mail: Tatkabu@mail.ru
Abstract. The article is devoted to the actual health problem ― differential diagnosis of exudative pleural effusions of various etiology. The retrospective analysis data of the Yaroslavl regional health care institutions medical documentation about the prevalence exudative pleural effusions including oncological ones are given. It was found that the frequency of pleurisy in the general structure of thoracic hospitals is 3-10%, while a significant part of these patients need surgery in a specialized thoracic hospital. Analysis of medical records for 8 years showed that the most common cause of the exudate accumulation in the plural cavity is nonspecific inflammatory process both in the lungs and pleura. However, the proportion of oncological pleurisy is also very high and is 29,5%. When analyzing the information it was found that it takes from 2-5 days to 3 and more months from the first illness signs to the thoracic hospital`s admission. Taking into account such long terms of the diagnostic stage there is an urgent need for early differential diagnosis of pleurisy. It is necessary to make routing protocols which allow to reduce the diagnostics time and to provide specialized assistance including oncological one. It will improve the quality of care for patients with exudative pleurisy of various etiology in our country.
Key words: exudative pleural effusions, videothoracoscopy, differential diagnosis, prevalence, oncology.