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1.
Thorac Cancer ; 13(22): 3233-3235, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36208137

RESUMO

Osimertinib-induced pneumonitis usually manifests as ground glass opacities (GGO) on chest computed tomography (CT) scans. Here, we encountered a case involving a 42-year-old woman who had nodule-type pneumonitis mimicking lung abscess or tumor recurrence caused by osimertinib. When a nodular pattern is seen on the chest CT scan of a patient receiving osimertinib treatment, drug-induced pneumonitis should be considered as a differential diagnosis. To the best of our knowledge, this is the first case of osimertinib-induced pneumonitis that manifested as a nodule-type pneumonitis mimicking lung abscess or tumor recurrence on chest CT scan.


Assuntos
Abscesso Pulmonar , Pneumonia , Feminino , Humanos , Adulto , Recidiva Local de Neoplasia , Pneumonia/diagnóstico , Pneumonia/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos
2.
Respir Med Case Rep ; 33: 101447, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34401286

RESUMO

Pulmonary tumor thrombotic microangiopathy (PTTM) is a rare but fatal cancer-related disease. Owing to its non-specific findings, aggressive course, and lack of established treatment guidelines, only a few cases of antemortem diagnosis in long-term survivors have been reported. We aimed to report a case of uterine cervical cancer induced PTTM that was suspected based on pulmonary hypertension and successfully treated using combination chemotherapy despite of delayed diagnose. It is important to be aware that PTTM should be suspected when respiratory failure occurs in patients with unexplained pulmonary hypertension. Multidisciplinary treatments including molecular targeted therapies might be effective treatment options.

3.
Intern Med ; 59(18): 2291-2295, 2020 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-32536645

RESUMO

Sarcoidosis is a multisystem granulomatous disease of unknown etiology and is pathologically characterized by non-caseating granulomas in the organs involved. We herein report a case of sarcoidosis in a Japanese woman with acute respiratory failure, diagnosed using endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) on the ventilator after intubation. Only a few cases of previously undiagnosed sarcoidosis presenting acute respiratory failure have been reported. It is important to be aware that undiagnosed sarcoidosis may present with acute respiratory failure. Therefore, EBUS-TBNA under mechanical ventilation may be useful for the immediate diagnosis of patients.


Assuntos
Broncoscopia/métodos , Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico/métodos , Respiração Artificial/métodos , Sarcoidose Pulmonar/diagnóstico , Ultrassonografia de Intervenção/métodos , Idoso , Feminino , Humanos , Pulmão/patologia , Insuficiência Respiratória , Sarcoidose Pulmonar/diagnóstico por imagem
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