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Clump material within drainage chest tubes contains diagnostic information: a proof-of-concept case series

Amber Louw, Calvin Sidhu, Deirdre B. Fitzgerald, Jenette Creaney, Siaw Ming Chai, Y.C. Gary Lee
European Respiratory Journal 2021 57: 2003248; DOI: 10.1183/13993003.03248-2020
Amber Louw
1Dept of Anatomical Pathology, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands, Australia
2School of Medical and Health Sciences, Edith Cowan University, Perth, Australia
3National Centre for Asbestos Related Diseases, University of Western Australia, Perth, Australia
4Institute for Respiratory Health, Nedlands, Australia
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Calvin Sidhu
5Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia
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Deirdre B. Fitzgerald
4Institute for Respiratory Health, Nedlands, Australia
5Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia
6Medical School, University of Western Australia, Perth, Australia
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Jenette Creaney
3National Centre for Asbestos Related Diseases, University of Western Australia, Perth, Australia
4Institute for Respiratory Health, Nedlands, Australia
5Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia
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Siaw Ming Chai
1Dept of Anatomical Pathology, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands, Australia
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Y.C. Gary Lee
4Institute for Respiratory Health, Nedlands, Australia
5Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia
6Medical School, University of Western Australia, Perth, Australia
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  • For correspondence: gary.lee@uwa.edu.au
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Extract

Pleural effusion is a common diagnostic and therapeutic challenge [1, 2]. Malignant pleural effusion (MPE), in particular, often necessitates fluid drainage with chest tubes for symptom control [3, 4] and its diagnosis requires cyto-histological assessment of pleural fluid or tissue biopsies [2].

Abstract

Clump material often blocks up chest tubes and are discarded as waste. This first study to characterise these clumps found they consist of fibrin frequently admixed with entrapped inflammatory and malignant cells and can add useful diagnostic information. https://bit.ly/2TjNs8Y

Footnotes

  • Conflict of interest: A. Louw has nothing to disclose.

  • Conflict of interest: C. Sidhu has nothing to disclose.

  • Conflict of interest: D.B. Fitzgerald has nothing to disclose.

  • Conflict of interest: J. Creaney reports grants from National Health and Medical Research Council and Insurance Commission of Western Australia, during the conduct of the study.

  • Conflict of interest: S. Chai has nothing to disclose.

  • Conflict of interest: Y.C.G. Lee has nothing to disclose.

  • Support statement: A. Louw is supported by an iCARE Dust Disease Board PhD scholarship. Y.C.G. Lee is a Medical Research Future Fund Practitioner Fellow. Funding information for this article has been deposited with the Crossref Funder Registry.

  • Received August 27, 2020.
  • Accepted October 19, 2020.
  • Copyright ©ERS 2021
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Clump material within drainage chest tubes contains diagnostic information: a proof-of-concept case series
Amber Louw, Calvin Sidhu, Deirdre B. Fitzgerald, Jenette Creaney, Siaw Ming Chai, Y.C. Gary Lee
European Respiratory Journal Mar 2021, 57 (3) 2003248; DOI: 10.1183/13993003.03248-2020

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Clump material within drainage chest tubes contains diagnostic information: a proof-of-concept case series
Amber Louw, Calvin Sidhu, Deirdre B. Fitzgerald, Jenette Creaney, Siaw Ming Chai, Y.C. Gary Lee
European Respiratory Journal Mar 2021, 57 (3) 2003248; DOI: 10.1183/13993003.03248-2020
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