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恶性肿瘤中与博来霉素治疗相关的肺部病变

PULMONARY LESIONS ASSOCIATED WITH BLEOMYCIN THERAPY IN MALIGNANCIES.

作者信息

Bhardwaj J R, Kartik K, Sambandam S

机构信息

Professor & Head, Pune-411 040.

PG Student; Department of Pathology, Armed Forces Medical College, Pune-411 040.

出版信息

Med J Armed Forces India. 1994 Jul;50(3):167-170. doi: 10.1016/S0377-1237(17)31052-3. Epub 2017 Jun 27.

Abstract

Pulmonary lesions in seven patients with malignancy who were treated with bleomycin were studied at autopsy. Six of them had symptoms of respiratory distress. The lesions showed a predilection for the lower lobe and subpleural zones. Diffuse alveolar damage progressing to interstitial pneumonitis at varying stages of evolution was observed in all cases. The changes included intra-alveolar proteinaceous exudate, extensive interstitial fibrosis and frank epithelial dysplasia simulating metastatic nodules.

摘要

对7例接受博来霉素治疗的恶性肿瘤患者的肺部病变进行了尸检研究。其中6例有呼吸窘迫症状。病变好发于下叶和胸膜下区域。所有病例均观察到弥漫性肺泡损伤在不同演变阶段进展为间质性肺炎。这些变化包括肺泡内蛋白质渗出物、广泛的间质纤维化以及类似转移结节的明显上皮发育异常。

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