Narayan Vivek, Deshpande Charuhas, Bermudez Christian A, Golato Jaclyn M, Lee James C, Diamond Joshua, Vaughn David J
Division of Hematology/Oncology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Division of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Oncologist. 2017 May;22(5):620-622. doi: 10.1634/theoncologist.2016-0437. Epub 2017 Mar 30.
This report details the successful use of bilateral lung transplantation for the management of severe postoperative bleomycin-associated lung injury. This case highlights that the extremely favorable prognosis of advanced testicular germ cell tumors after systemic chemotherapy (>90% cure rate) should not preclude lung transplant consideration in all cases, despite current guidance that considers an advanced malignancy to be a contraindication for lung transplant listing. 2017;22:620-622.
本报告详细介绍了双侧肺移植成功用于治疗严重的博来霉素相关性肺损伤。该病例突出表明,尽管目前的指南将晚期恶性肿瘤视为肺移植登记的禁忌症,但全身化疗后晚期睾丸生殖细胞肿瘤的极佳预后(治愈率>90%)在所有情况下都不应排除肺移植的考虑。2017年;22:620 - 622。