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Hi, I have a right side recurrent pleural effusion. My doctor inserted a chest tube but still fluid re stored after draining. What should I do?
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Pleural effusions in patients with multiple myeloma result from different aetiologies, each requiring a different type of treatment. Due to the important therapeutic and prognostic implications of finding a myelomatous pleural effusion, diagnostic throracocentesis with careful cytological examination and protein electrophoresis with immunofixation should be performed whenever possible. Supplemental studies with flow cytometry and cytogenetics should also be considered.
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