Author(s): 
A Fahim, JA Kastelik

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Abstract

We describe a case of exudative pleural effusion in a patient with mucinous pulmonary adenocarcinoma. Pleural fluid examination showed markedly raised amylase with normal serum amylase concentration. There was no clinical or radiological evidence of oesophageal rupture or pancreatitis. The case illustrates the importance of considering pulmonary malignancy in the context of amylaserich pleural effusion. Causes of amylase-rich pleural effusion and the significance of isoenzyme analysis are discussed.

Keywords Amylase isoenzyme, pleural effusion, pulmonary adenocarcinoma

Declaration of Interests  No conflict of interests declared.

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