Mordechai R. Kramer, MD; Mario J. Saldana, MD; Rodolfo J. Cepero, MD; Arthur E. Pitchenik, MD
Amylase levels elevated in pleural effusions are found in three categories. First, the commonest category is pancreatitis with or without pseudocyst formation or a direct pancreatic-pleural fistula. Second, and uncommonly, is rupture of the esophagus, usually recognized by a distinct clinical picture. Third, malignant effusion may have elevated amylase levels (1-13). We report the case of a patient in whom extremely high amylase levels in pleural effusion contributed to diagnosis of a lung neoplasm. We also review 33 additional reports in the literature.
A 67-year-old previously healthy man was hospitalized because of left chest pain and increasing dyspnea
Kramer MR, Saldana MJ, Cepero RJ, Pitchenik AE. High Amylase Levels in Neoplasm-Related Pleural Effusion. Ann Intern Med. ;110:567–569. doi: 10.7326/0003-4819-110-7-567
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Published: Ann Intern Med. 1989;110(7):567-569.
Hematology/Oncology, Pulmonary/Critical Care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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