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一例用乐伐替尼治疗肺转移的间变性甲状腺癌后发生气胸的病例。

A Case of Pneumothorax after Treatment with Lenvatinib for Anaplastic Thyroid Cancer with Lung Metastasis.

作者信息

Yamazaki Haruhiko, Iwasaki Hiroyuki, Yamashita Toshinari, Yoshida Tatsuya, Suganuma Nobuyasu, Yamanaka Takashi, Masudo Katsuhiko, Nakayama Hirotaka, Kohagura Kaori, Rino Yasushi, Masuda Munetaka

机构信息

Department of Breast and Endocrine Surgery, Kanagawa Cancer Center, Yokohama, Japan.

Department of Breast and Thyroid Surgery, Yokohama City University Medical Center, Yokohama, Japan.

出版信息

Case Rep Endocrinol. 2018 Mar 28;2018:7875929. doi: 10.1155/2018/7875929. eCollection 2018.

DOI:10.1155/2018/7875929
PMID:29796324
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5896288/
Abstract

A 63-year-old man was diagnosed with multiple lung metastases from anaplastic thyroid cancer and received lenvatinib. Follow-up computed tomography on day 34 of lenvatinib treatment showed pneumothorax. The pneumothorax was temporarily improved with chest drainage. However, pleurodesis was performed to treat a relapse of the pneumothorax. Pneumothorax during chemotherapy for a malignant tumor is considered a relatively rare complication. This case is the first documentation that pneumothorax may develop during lenvatinib treatment. The possible development of pneumothorax should be considered when lenvatinib is used in patients with lung metastasis.

摘要

一名63岁男性被诊断为间变性甲状腺癌伴多发肺转移,并接受了乐伐替尼治疗。乐伐替尼治疗第34天的随访计算机断层扫描显示气胸。通过胸腔引流,气胸暂时得到改善。然而,为治疗气胸复发进行了胸膜固定术。恶性肿瘤化疗期间的气胸被认为是一种相对罕见的并发症。该病例是乐伐替尼治疗期间可能发生气胸的首例记录。在肺转移患者中使用乐伐替尼时,应考虑到可能发生气胸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a705/5896288/34e6f8f60492/CRIE2018-7875929.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a705/5896288/c9daf509c2f2/CRIE2018-7875929.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a705/5896288/83a978dc814b/CRIE2018-7875929.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a705/5896288/34e6f8f60492/CRIE2018-7875929.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a705/5896288/c9daf509c2f2/CRIE2018-7875929.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a705/5896288/83a978dc814b/CRIE2018-7875929.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a705/5896288/34e6f8f60492/CRIE2018-7875929.003.jpg

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本文引用的文献

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Case Rep Oncol. 2017 Apr 18;10(1):333-338. doi: 10.1159/000463380. eCollection 2017 Jan-Apr.
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A Rupture of a Lung Metastatic Lesion of Colon Cancer, Leading to Pneumothorax Caused by Bevacizumab.一例结肠癌肺转移瘤破裂,导致贝伐单抗引起的气胸
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Lung cavitation in patients with anaplastic thyroid cancer treated with lenvatinib.接受乐伐替尼治疗的间变性甲状腺癌患者出现肺空洞形成。
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Bilateral pneumothorax in a patient with anaplastic thyroid carcinoma and lung metastasis during lenvatinib therapy: a case report.一名间变性甲状腺癌伴肺转移患者在乐伐替尼治疗期间发生双侧气胸:病例报告
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