Heinrichs D, Amthor M, Kirsten D
Krankenhaus Grosshansdorf, Zentrum für Pneumologie und Thoraxchirurgie, Grosshansdorf.
Pneumologie. 2004 Jun;58(6):404-7. doi: 10.1055/s-2004-818482.
Radiation-induced pneumonitis is a familiar complication of breast cancer radiotherapy, whereas bronchiolitis obliterans with organizing pneumonia occurs extremely rarely after this treatment. Consequently, testing for BOOP is rarely included in differential diagnosis. This results in delayed diagnosis, so that treatment is ultimately commenced too late. The infiltrations are often located in the unirradiated lung, impeding diagnosis. The radiotherapy-induced BOOP-reaction that can also occur after typical radiation pneumonitis is illustrated by reference to a characteristic case report.
放射性肺炎是乳腺癌放疗常见的并发症，而闭塞性细支气管炎伴机化性肺炎在这种治疗后极为罕见。因此，闭塞性细支气管炎伴机化性肺炎的检测很少被纳入鉴别诊断。这导致诊断延迟，以至于最终开始治疗的时间太晚。浸润通常位于未受照射的肺部，妨碍诊断。本文通过一则典型病例报告来说明典型放射性肺炎后也可能出现的放疗诱发的闭塞性细支气管炎伴机化性肺炎反应。
