Pulmonary toxicity of mitomycin.

作者: Aman U. Buzdar , Sewa S. Legha , Mario A. Luna , Charles K. Tashima , Gabriel N. Hortobagyi

DOI: 10.1002/1097-0142(19800115)45:2<236::AID-CNCR2820450207>3.0.CO;2-0

关键词: Pulmonary toxicityRespiratory failurePneumoniaPneumonitisBreast cancerSurgeryLung biopsyMedicineInternal medicineDiffuse alveolar damageGastroenterologyDiscontinuation

摘要: Six patients with breast cancer developed pulmonary toxicity following mitomycin therapy. The presenting symptoms were shortness of breath and a dry cough. radiological pictures varied from normal chest x-ray to extensive bilateral pneumonitis. histological findings consisted diffuse alveolar damage progressing interstitial fibrosis. Corticosteroid therapy resulted in complete resolution pneumonia one patient. Respiratory improved 3 discontinuation the drug. Two pneumonitis, who not treated steroids, died respiratory failure. Mitomycin-induced lung appears be reversible drug administration corticosteroids. Lung biopsy is necessary order rule out other diagnoses.

参考文章(22)
Samuel Shapiro, Fatal Drug Reactions Among Medical Inpatients JAMA: The Journal of the American Medical Association. ,vol. 216, pp. 467- 472 ,(1971) , 10.1001/JAMA.1971.03180290043005
David Crittenden, Bill L. Tranum, Arthur Haut, Pulmonary Fibrosis after Prolonged Therapy with 1,3-Bis (2-chloroethyl)-nitrosourea Chest. ,vol. 72, pp. 372- 373 ,(1977) , 10.1378/CHEST.72.3.372
Gary D. Friedman, Experience in Monitoring Drug Reactions in Outpatients JAMA. ,vol. 217, pp. 567- 572 ,(1971) , 10.1001/JAMA.1971.03190050025005
H DIRK SOSTMAN, RICHARD A. MATTHAY, CHARLES E. PUTMAN, G J WALKER SMITH, Methotrexate-induced pneumonitis. Medicine. ,vol. 55, pp. 371- 388 ,(1976) , 10.1097/00005792-197609000-00002
J W Fielding, R A Stockley, V S Brookes, Interstitial lung disease in a patient treated with 5-fluorouracil and mitomycin C. BMJ. ,vol. 2, pp. 602- 602 ,(1978) , 10.1136/BMJ.2.6137.602
B. W. Codling, T. M. H. Chakera, Pulmonary fibrosis following therapy with Melphalan for multiple myeloma Journal of Clinical Pathology. ,vol. 25, pp. 668- 673 ,(1972) , 10.1136/JCP.25.8.668
Albert M. Clarysse, Pulmonary Disease Complicating Intermittent Therapy With Methotrexate JAMA: The Journal of the American Medical Association. ,vol. 209, pp. 1861- 1864 ,(1969) , 10.1001/JAMA.1969.03160250017003
PAUL Y. HOLOYE, Bleomycin Hypersensitivity Pneumonitis Annals of Internal Medicine. ,vol. 88, pp. 47- 49 ,(1978) , 10.7326/0003-4819-88-1-47
ERIC S ORWOLL, PETER J KIESSLING, JAMES R PATTERSON, Interstitial Pneumonia from Mitomycin Annals of Internal Medicine. ,vol. 89, pp. 352- 355 ,(1978) , 10.7326/0003-4819-89-3-352