Pulmonary Fibrosis after Prolonged Therapy with 1,3-Bis (2-chloroethyl)-nitrosourea

作者: David Crittenden , Bill L. Tranum , Arthur Haut

DOI: 10.1378/CHEST.72.3.372

关键词: ChemotherapyMetastatic malignant melanomaComplete remissionPulmonary fibrosisImidazole carboxamideCytotoxic T cellNitrosoureaMedicinePathologyNitrosourea Compound

摘要: A 43-year-old man with metastatic malignant melanoma was treated l,3-bis(2-chloroethyl)-l-mtrosoiirea (BCNU) in combination imidazole carboxamide and hydroxyurea. He achieved complete remission. After 22 months of chemotherapy, the patient developed bilateral pulmonary infiltrates. Open lung biopsy showed sclerosing alveolitis. Long-term therapy BCNU may cause fibrosis, as has been seen other cytotoxic drugs.

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