Academic Journal

Pembrolizumab‐induced interstitial lung disease following thoracic surgery in a patient with non‐small cell lung cancer

التفاصيل البيبلوغرافية
العنوان: Pembrolizumab‐induced interstitial lung disease following thoracic surgery in a patient with non‐small cell lung cancer
المؤلفون: Fujita, Tetsuo, Hayama, Nami, Kuroki, Tsuguko, Shiraishi, Yuka, Amano, Hiroyuki, Nakamura, Makoto, Hirano, Satoshi, Aramaki, Nao, Ichinose, Shuji, Shimizu, Shinichiro, Tabeta, Hiroshi, Nakamura, Sukeyuki
المصدر: Thoracic Cancer ; volume 10, issue 11, page 2179-2182 ; ISSN 1759-7706 1759-7714
بيانات النشر: Wiley
سنة النشر: 2019
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: The safety of treatment with immune‐checkpoint inhibitors prior to thoracic surgery in patients with non‐small cell lung cancer (NSCLC) remains unclear. Here, we describe the case of a 62‐year‐old woman with NSCLC with programmed death ligand 1 expression on 85% of tumor cells. The patient was initially considered to have unresectable stage IIIB disease and received pembrolizumab monotherapy. After 12 cycles of pembrolizumab, the primary tumor was reduced, but a small lung nodule in another lobe was unchanged. Based on the course of image findings, the nodule was considered to be an old inflammatory change. The clinical stage was changed to stage IB and partial resection was performed. Three days after thoracic surgery, the patient began to complain of coughing and shortness of breath. A CT of the chest revealed ground‐glass opacity in the bilateral lung fields, suggesting interstitial lung disease (ILD) associated with pembrolizumab. Corticosteroid therapy was started and a chest X‐ray showed a reduction in the opacity with improved oxygenation. This is the first case of immune‐checkpoint inhibitor‐related ILD triggered by thoracic surgery following long‐term immune‐checkpoint therapy.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/1759-7714.13194
الاتاحة: http://dx.doi.org/10.1111/1759-7714.13194
https://onlinelibrary.wiley.com/doi/pdf/10.1111/1759-7714.13194
https://onlinelibrary.wiley.com/doi/full-xml/10.1111/1759-7714.13194
Rights: http://creativecommons.org/licenses/by-nc-nd/4.0/
رقم الانضمام: edsbas.A93DB174
قاعدة البيانات: BASE