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The Pleura: General Aspects

  • Rolf G. C. InderbitziEmail author
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Abstract

The pleura comprises the visceral and the parietal pleura, and this forms two layers which merge into each other in the hilum of the lung. The reflective surfaces of the healthy pleura (Fig. 16.1) are separated from each other by the capillary space filled with approximately 3 ml of pleural fluid. The visceral pleura is attached directly to the lung and is about 100–200 μm thick. The superficial mesothelium (covering cell layer) is formed by the mesothelial cells which are joined with desmosomes and demonstrate microvilli on their surface. On the inside are three layers of connective tissue delineated by a basal membrane. The main connective tissue layer of the pleura is formed by an external and internal border lamina with a fibrous layer in between, which controls the blood vessels. The internal lamina borders on the alveolar wall and is connected to the interstitial connective tissue of the lung in the area of the lobular septum. The parietal pleura borders on the intercostal muscles and ribs over the endothoracic fascia.

Keywords

Mesothelial Cell Pleural Fluid Malignant Mesothelioma Pleural Space Parietal Pleura 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Austin EH, Flye MW (1979) The treatment of recurrent malignant pleural effusion. Ann Thorac Surg 28:190–203PubMedCrossRefGoogle Scholar
  2. 2.
    Chernow B, Sahn SA (1977) Carcinomatous involvement of the pleura. Am J Med 63:695–702PubMedCrossRefGoogle Scholar
  3. 3.
    Hausheer FH, Yabro JW (1985) Diagnosis and treatment of malignant pleural effusion. Semin Oncol 12:54–75PubMedGoogle Scholar
  4. 4.
    Leff A, Hopeweöö PC, Costello J (1978) Pleural effusion from malignancy. Ann Intern Med 88:532–537PubMedGoogle Scholar
  5. 5.
    Moore DWO (1991) Malignant pleural effusion. Semin Oncol 18:59–61Google Scholar
  6. 6.
    Müller KM (1994) Erkrankungen der Pleura – pathologische Anatomie. In: Nakhosteen JA, Inderbitzi R (eds) Atlas und Lehrbuch der thorakalen Endoskopie: Bronchoskopie, Thorakoskopie. Springer Verlag, Berlin/Heidelberg, p S 325Google Scholar
  7. 7.
    J. Nakhosteen, R. Inderbitzi: Atlas und Lehrbuch der thorakalen Endoskopie 3. Auflage, Springer-Verlag 1994PubMedCrossRefGoogle Scholar
  8. 8.
    Orringer MB (1988) Thoracic empyema – back to basics. Chest 93:901–902PubMedCrossRefGoogle Scholar
  9. 9.
    Peterson JA (1984) Recognition of infrapulmonary pleural effusion. Radiology 74:34Google Scholar
  10. 10.
    Rosato FE, Wallach MW, Rosato GF (1974) The management of malignant effusions from the breast cancer. J Surg Oncol 6:441–449PubMedCrossRefGoogle Scholar
  11. 11.
    Sahn SA (1981) Pleural manifestations of pulmonary disease. Hosp Pract 16:73–79, 83–85, 89Google Scholar
  12. 12.
    Woodring JH (1984) Recognition of pleural effusion on supine radiographs: how much fluid is required? Am J Roentgenol 142:59–64Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Thoraxzentrum Zurich, Hirslanden ClinicZurichSwitzerland

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