Control of malignant ascites with spironolactone

Author:

Greenway B1,Johnson P J1,Williams R1

Affiliation:

1. The Liver Unit, King's College Hospital and Medical School, Denmark Hill, London SE5, England

Abstract

Abstract Thirteen of 15 patients with malignant ascites ashieved an excellent response to spironolactone, with an increase in urinary sodium excretion rates from less than 35 mEq/d before treatment to between 50 and 245 mEq/d after treatment. Plasma renin activity was raised in all of 5 patients in whom it was measured, whereas aldosterone was raised in only 3; these results are similar to those found in ascites due to cirrhosis.

Funder

Cancer Research Campaign

Frances and Augustus Newman Foundation

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference19 articles.

1. Futher experience with peritoneo venous shunt for ascites;LeVeen;Ann. Surg.,1976

2. Intracavitary bleomycin in the management of malignant effusions;Palandine;Cancer,1976

3. Intracavitary bleomycin in the management of malignant effusions;Ostrowski;Oncology Prospectus,1980

4. Intracavity 5 FU in malignant effusions;Suhrland;Arch. Intern. Med.,1965

5. Diagnosis and treatment of neoplastic effusions;Ultmann;Cancer,1962

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