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
Mordechai R. Kramer, Mario J. Saldana, Rodolfo J. Cepero, Arthur E. Pitchenik. High Amylase Levels in Neoplasm-Related Pleural Effusion. Ann Intern Med. 1989;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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