Treatment of malignant pleural effusion is a complicated algorithm which depends on the longevity of the patient, the cell type and the primary cancer, the control of the tumor in the rest of the body, symptomatic benefit from therapeutic thoracentesis, and other comorbidities including general debility and COPD.
German language, German Deutsch, official language of both Germany and Austria and one of the three official languages of Switzerland. German belongs to the West Germanic group of the Indo-European language family, along with English, Frisian, and Dutch (Netherlandic, Flemish). The recorded history of Germanic languages begins with their speakersâ first contact with the Romans, in the 1st century bc.
) is a West Germanic language that derives most of its vocabulary from the Germanic branch of the Indo-European language family. A proportion of German words are derived from Latin and Greek, and fewer are borrowed from French and English.Languages which are most similar to German include Afrikaans, Dutch, English, the Frisian languages, the continental Scandinavian languages and Luxembourgish.he area in central Europe where the majority of the population speaks German as a first language and has German as a (co-)official language is called the  German Sprachraum . It comprises an estimated 88 million native speakers and 10 million who speak German as a second language (e.g. immigrants).