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1.
Thorac Cancer ; 13(22): 3233-3235, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-36208137

RESUMEN

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.


Asunto(s)
Absceso Pulmonar , Neumonía , Femenino , Humanos , Adulto , Recurrencia Local de Neoplasia , Neumonía/diagnóstico , Neumonía/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodos
2.
Respir Med Case Rep ; 33: 101447, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34401286

RESUMEN

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.
Artículo en Inglés | MEDLINE | ID: mdl-32536645

RESUMEN

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.


Asunto(s)
Broncoscopía/métodos , Biopsia por Aspiración con Aguja Fina Guiada por Ultrasonido Endoscópico/métodos , Respiración Artificial/métodos , Sarcoidosis Pulmonar/diagnóstico , Ultrasonografía Intervencional/métodos , Anciano , Femenino , Humanos , Pulmón/patología , Insuficiencia Respiratoria , Sarcoidosis Pulmonar/diagnóstico por imagen
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