Several effective methods exist for the control of malignant pleural effusion: the most effective is iodized talc poudrage, but the relatively short survival times associated with malignant effusions from bronchogenic carcinomas make less elaborate methods more appropriate. 70-80% of malignant effusions can be controlled by intrapleural instillation of Mustine or the antimalarial drug quinactine. Preliminary removal of as much fluid as possible is an important contributory factor to success. Radioactive colloidal gold is obsolete in pleural effusions.
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