Plueral Effusion and Ovarian Cancer

Abstract

Pleural effusion, the pathological accumulation of fluid in the pleural space, is very common. Its causes vary widely, ranging from fairly harmless effusions accompanying viral pleuritis to prognostically highly relevant ones due to congestive heart failure or malignances. Pleural effusions are classified by their biochemical properties into exudative and transudative effusions but can also be due to blood, pus and chyle. Applying Light’s criteria may be helpful to diagnose an exudative effusion. Exudative effusions are commonly caused by infection, malignancy and inflammatory disorders, such as rheumatoid arthritis. In this case we presented 39 women that was admentes with only short of breath and Pleural effusion, During the hospitalization, a pleural fluid puncture was performed and a cytological result was obtained for ovarian cancer and CA-125 was high in the pleural fluid, the patient underwent chemotherapy and her condition improved hourly. In this case, we present a rare case in which the patient complained of shortness of breath without surgical or gynecological complaints and was finally diagnosed with ovarian cancer, which raises the importance of ruling out malignancy every time a new pleural fluid is aspirated.