Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 284.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 284.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 284.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 284.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 284.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 284.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 284.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\30029601
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Pulm+Med
2018 ; 18
(1
): 121
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Fatal interstitial lung disease associated with Crizotinib pathologically
confirmed by percutaneous lung biopsy in a patient with ROS1-rearranged advanced
non-small-cell lung cancer: a case report
#MMPMID30029601
Wu S
; Liu K
; Ren F
; Zheng D
; Pan D
BMC Pulm Med
2018[Jul]; 18
(1
): 121
PMID30029601
show ga
BACKGROUND: Crizotinib is a multi-target inhibitor approved for the treatment of
advanced non-small-cell lung cancer patients with a ROS1 rearrangement. However,
interstitial lung disease is a rare but severe and fatal side effect of
crizotinib that should lead to immediate discontinuation of the drug.
Unfortunately, the pathophysiology, molecular mechanism and risk factors for
crizotinib-induced interstitial lung disease remain poorly understood. CASE
PRESENTATION: We first identified and reported interstitial lung disease induced
de novo by crizotinib in a 47-year-old female patient who was diagnosed with
advanced lung adenocarcinoma with a ROS1 rearrangement in a malignant pleural
effusion. Subsequent next-generation sequencing analysis revealed both ROS1
rearrangement and an EGFR exon 19 deletion mutation in lung biopsy specimens,
which were histologically confirmed to be interstitial lung disease. Although
crizotinib treatment was ceased immediately and a shock treatment with high-dose
methylprednisolone as well as other necessary treatment procedures was applied to
reverse the interstitial lung disease process, the patient died. CONCLUSIONS: The
present case indicates that while treating non-small-cell lung cancer patients
with crizotinib, it is important to constantly monitor any newly emerging
respiratory symptoms and unexplained imaging changes, which may suggest an
adverse effect related to drug-induced interstitial lung disease or even
lethality. Histopathology and molecular pathological examination of lung biopsy
specimens may help clinicians understand the development mechanism and exclude
other causes.