Lung Transplantation for Pleuroparenchymal Fibroelastosis After Chemotherapy

We report the youngest patient ever reported in the literature to exhibit pleuroparenchymal fibroelastosis (PPFE) as a late-onset pulmonary toxicity after treatment with anticancer chemotherapy. The patient was diagnosed with mature B-cell leukemia at age 14. He was successfully treated with intensi...

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Veröffentlicht in:The Annals of thoracic surgery 2014-11, Vol.98 (5), p.e115-e117
Hauptverfasser: Chen, Fengshi, MD, Matsubara, Kousaku, MD, Miyagawa-Hayashino, Aya, MD, Tada, Kimihide, MD, Handa, Tomohiro, MD, Yamada, Tetsu, MD, Sato, Masaaki, MD, Aoyama, Akihiro, MD, Date, Hiroshi, MD
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container_end_page e117
container_issue 5
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container_title The Annals of thoracic surgery
container_volume 98
creator Chen, Fengshi, MD
Matsubara, Kousaku, MD
Miyagawa-Hayashino, Aya, MD
Tada, Kimihide, MD
Handa, Tomohiro, MD
Yamada, Tetsu, MD
Sato, Masaaki, MD
Aoyama, Akihiro, MD
Date, Hiroshi, MD
description We report the youngest patient ever reported in the literature to exhibit pleuroparenchymal fibroelastosis (PPFE) as a late-onset pulmonary toxicity after treatment with anticancer chemotherapy. The patient was diagnosed with mature B-cell leukemia at age 14. He was successfully treated with intensive chemotherapy; however, 7 years later, he experienced recurrent pneumothoraces. He was clinically diagnosed with upper lobe pulmonary fibrosis. At age 28, he underwent single left lung transplantation. Histologic examination of the resected lung revealed PPFE in the upper lobe and constrictive bronchiolitis obliterans in the lower lobe, which implied a close relationship between PPFE and constrictive bronchiolitis obliterans.
doi_str_mv 10.1016/j.athoracsur.2014.07.045
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Antineoplastic Agents - adverse effects
Biopsy
Bronchiolitis Obliterans - chemically induced
Bronchiolitis Obliterans - diagnosis
Bronchiolitis Obliterans - surgery
Cardiothoracic Surgery
Follow-Up Studies
Humans
Leukemia, B-Cell - drug therapy
Lung Transplantation - methods
Male
Pleural Diseases - chemically induced
Pleural Diseases - diagnosis
Pleural Diseases - surgery
Radiography, Thoracic
Surgery
title Lung Transplantation for Pleuroparenchymal Fibroelastosis After Chemotherapy
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