Yamada K, Ogasawara T, Akita Y, Miyazaki M, Inukai A, Shinjo K, Suzuki M
Department of Internal Medicine, Ensyu General Hospital, 144-6 Tokiwacho, Hamamatsu, Shizuoka 430-0917, Japan.
Nihon Kokyuki Gakkai Zasshi. 2001 Feb;39(2):122-5.
We report a case of recurrent cough and migratory pulmonary infiltrates in a 55-year-old woman after adjuvant thoracic radiotherapy for breast cancer. The pulmonary infiltrates were initially limited to the area adjacent to the irradiated breast, but later migrated to the opposite lung. The diagnosis of bronchiolitis obliterans organizing pneumonia (BOOP) was made using a transbronchial biopsy, which disclosed intraluminal fibrosis in the distal airspace, together with a radiographic appearance typical of BOOP. This case was assumed to be in a series of reported cases of BOOP primed by radiotherapy.
我们报告了一例55岁女性乳腺癌辅助胸段放疗后出现反复咳嗽和游走性肺部浸润的病例。肺部浸润最初局限于放疗侧乳房附近区域,但后来转移至对侧肺。通过经支气管活检确诊为闭塞性细支气管炎伴机化性肺炎(BOOP),活检显示远端气腔内有腔内纤维化,同时具有BOOP典型的影像学表现。该病例被认为属于一系列因放疗引发的BOOP报告病例。