TY - JOUR T1 - ‘Malignant’ pleural effusion with abdominal gossypiboma JF - Thorax JO - Thorax DO - 10.1136/thoraxjnl-2018-211599 SP - thoraxjnl-2018-211599 AU - Tao Fan AU - Wei Wang AU - Xiaobo Guo AU - Qing Geng Y1 - 2018/04/05 UR - http://thorax.bmj.com/content/early/2018/04/05/thoraxjnl-2018-211599.abstract N2 - Following a 15-day history of cough with associated breathlessness, a 50-year-old woman presented with bilateral pleural effusions and a pericardial effusion. Her medical history included removal of an appendiceal cyst and a hysteromyoma resection 12 years previously. There was no cardiac or respiratory history. Physical examination revealed decreased breath sounds bilaterally with distant heart sounds heard. Pleural fluid demonstrated high levels of CA125 (2909.70 U/mL; reference range, 3.6–68.6 U/mL), cytokeratin fragment (CYFRA) (724.00 ng/mL; range, 0–3.3 ng/mL), squamous cell carcinoma antigen (SCC) (37.47 ng/mL; range, 0–1.5 ng/mL) and neuron specific enolase (NSE) (31.94 ng/mL; range, 0–16.3 ng/mL). Serum samples demonstrated high levels of CA125 (227.60 U/mL; range, 3.6–68.6 U/mL), CYFRA (6.79 ng/mL; … ER -