Abstract
Pulmonary toxicity is rarely associated with paclitaxel chemotherapy and its mechanism is not well known. This report describes one patient with pancreatic adenocarcinoma, metastatic neuroendocrine low-grade pancreatic tumor, and a concomitant stage I non-small cell lung cancer (NSCLC), who also developed life-threatening paclitaxel-induced chronic fibrosing interstitial pneumonitis. Giving the gravity of the condition and the not-well-established treatment, physicians should be aware of the possibility of chronic fibrosing interstitial lung disease during the course of paclitaxel containing regimens in patients who present with respiratory symptoms.
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Lee JJ, Harris LN (2008) Antimicrotubule agents. In: DePinho RA, Weinberg RA (eds) DeVita, Hellman, and Rosenberg’s Cancer: principles & practice of oncology, 8th edn, vol 1. Lippincott Williams & Wilkins, Philadelphia, p 447
Shitara K, Ishii E, Kondo M, Sakata Y (2006) Suspected paclitaxel-induced pneumonitis. Gastric Cancer 9:325–328
Karacan O, Eyüboglu FO, Akçay S, Ozyilkan O (2004) Acute interstitial pneumopathy associated with docetaxel hypersensitivity. Onkologie 27:563
Leimgruber K, Negro R, Baier S, Moser B et al (2006) Fatal interstitial pneumonitis associated with docetaxel administration in a patient with hormone-refractory prostate cancer. Tumori 92:542
Rowinsky EK, Donehower RC (1995) Paclitaxel (Taxol). N Engl J Med 332:1004
Stover DE, Kaner RJ (2008) Pulmonary toxicity. In: DePinho RA, Weinberg RA (eds) DeVita, Hellman, and Rosenberg’s Cancer: principles & practice of oncology, 8th edn, vol 2. Lippincott Williams & Wilkins, Philadelphia, p 2671
Ramanathan RK, Reddy VV, Holbert JM, Belani CP (1996) Pulmonary infiltrates following administration of paclitaxel. Chest 110:289
Goldberg HL, Vannice SB (1995) Pneumonitis related to treatment with paclitaxel. J Clin Oncol 13:534
Fujimori K, Yokoyama A, Kurita Y et al (1998) Paclitaxel induced cell-mediated hypersensitivity pneumonitis. Diagnosis using leukocyte migration test, bronchoalveolar lavage and transbronchial lung biopsy. Oncology 55:340
Stemmer SM, Cagnoni PJ, Shpall EJ, Bearman SI et al (1996) High dose paclitaxel, cyclophosphamide, and cisplatin with autologous hematopoietic progenitor-cell support: a phase I trial. J Clin Oncol 14:1463
Thomas AL, Cox G, Sharma RA et al (2000) Gemcitabine and paclitaxel associated pneumonitis in non-small cell lung cancer: report of a phase I/II dose escalating study. Eur J Cancer 36:2329
Reckzeh B, Merte H, Pfluger KH et al (1996) Severe lymphocitopenia and intersticial pneumonia in patients treated with paclitaxel and simultaneous radiotherapy for non-small cell lung cancer. J Clin Oncol 14:1071
Taghian AG, Assaad SI, Niemierko A et al (2001) Risk of pneumonitis in breast cancer patients treated with radiation therapy and combination chemotherapy with paclitaxel. J Natl Cancer Inst 93:1806
Schweitzer VG, Juillard GJF, Bajada CL, Parker RG (1995) Radiation recall dermatitis and pneumonitis in a patient treated with paclitaxel. Cancer 76:1069
Bonomi P, Recine D (1997) Postoperative bronchopulmonary complications in stage III lung cancer patients treated with preoperative paclitaxel-containing chemotherapy and concurrent radiation. Semin Oncol 24(suppl 12):123–129
Wong P, Leung AN, Berry GJ et al (2001) Paclitaxel-induced hypersensitivity pneumonitis: radiographic and CT findings. AJR 176:718
Katzenstein A-LA (2006) Katzenstein and Askin’s surgical pathology of nonneoplastic lung disease. Major problems in pathology, 4th edn. WB Saunders, Philadelphia
Khan A, McNally D, Bilgrami S (1997) Paclitaxel-induced acute bilateral pneumonitis. Ann Pharmacother 31:1471
Suzaki N, Hiraki A, Takigawa N, Ueoka H et al (2006) Severe interstitial pneumonia induced by paclitaxel in a patient with adenocarcinoma of the lung. Acta Med Okayama 60:295
Ostoros G, Pretz A, Fillinger J, Soltesz I, Dome B (2006) Fatal pulmonary fibrosis induced by paclitaxel: a case report and review of the literature. Int J Gynecol Cancer 16:391
Ko E, Lee S, Goodman A (2008) Gemcitabine pulmonary toxicity in ovarian cancer. Oncologist 13:807
Makris D, Scherpereel A, Copin MC, Colin G, Brun L, Lafitte JJ, Marquette CH (2007) Fatal interstitial lung disease associated with oral erlotinib therapy for lung cancer. BMC Cancer 7:150
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Ferrarotto, R., Schetino, G., Freitas, D. et al. Paclitaxel induced chronic fibrosing interstitial pneumonitis: a case report and review of the literature. Oncol Rev 4, 101–106 (2010). https://doi.org/10.1007/s12156-010-0043-2
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DOI: https://doi.org/10.1007/s12156-010-0043-2