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厄洛替尼加剧放射性纤维化:辐射召回现象的另一种模式。

Exacerbation of radiation fibrosis with erlotinib: another pattern of radiation recall phenomenon.

机构信息

Department of Radiology, Dokkyo Medical University, 880 Kita-Kobayashi, Mibu, Tochigi 321-0293, Japan.

出版信息

Jpn J Radiol. 2011 Oct;29(8):587-9. doi: 10.1007/s11604-011-0590-x. Epub 2011 Sep 17.

DOI:10.1007/s11604-011-0590-x
PMID:21928002
Abstract

A 79-year-old woman with advanced lung cancer presented with worsened radiation fibrosis after administration of erlotinib. After radiation therapy 7 months previously, she had radiation fibrosis that had been stable for months. On the 19th day after administration of erlotinib, low-grade fever and mild dyspnea developed accompanied by new pulmonary opacity in the area of the radiation fibrosis, which improved without therapy. We surmise that this is a manifestation of the radiation recall phenomenon, and discontinuation of the drug should be considered with discretion.

摘要

一位 79 岁的女性肺癌患者在服用厄洛替尼后出现进行性放射性纤维化恶化。在 7 个月前接受放射治疗后,她的放射性纤维化已经稳定了数月。厄洛替尼给药后第 19 天,出现低热和轻度呼吸困难,同时伴有放射性纤维化区域的新的肺部不透明影,未经治疗即改善。我们推测这是放射性回忆现象的表现,应慎重考虑停药。

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Interstitial lung disease following erlotinib (Tarceva) in a patient who previously tolerated gefitinib (Iressa).一名先前耐受吉非替尼(易瑞沙)的患者在使用厄洛替尼(特罗凯)后出现间质性肺病。
J Oncol Pharm Pract. 2005 Sep;11(3):127-30. doi: 10.1191/1078155205jp158cr.
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[A case with delayed-onset radiation pneumonitis suspected to be induced by oral etoposide].[一例疑似由口服依托泊苷诱发迟发性放射性肺炎的病例]
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