Bilateral Diffuse Radiation Pneumonitis Caused by Unilateral Thoracic Irradiation: A Case Report
Journal of Lung Cancer 2012³â 11±Ç 2È£ p.97 ~ p.101
¼Û¼ºÇå(Song Sung-Heon) - Cheju Halla General Hospital Department of Internal Medicine
¿ÀÀ±Á¤(Oh Yoon-Jung) - Cheju Halla General Hospital Department of Internal Medicine
ÇÏâ¿ø(Ha Chang-Won) - Cheju Halla General Hospital Department of Pathology
(Chae Soo-Min) - Cheju Halla General Hospital Department of Radiation Oncology
Abstract
Radiation therapy is one of the most important therapeutic modalities for the treatment of lung cancer. Radiation pneumonitis is one of the important complications associated with radiotherapy for lung cancer. Radiation pneumonitis is generally limited to the irradiated lung and is manifested by the insidious onset of dry cough, dyspnea, and mild fever, resulting in damage and edematous changes of alveolar structures on histologic inspection. Clinically, diffuse bilateral radiation pneumonitis accompanied with acute symptoms after unilateral thoracic irradiation appears very rarely. Histopathologic examinations for the diagnosis of out-of-field radiation pneumonitis are rarely performed. We herein describe a case of extensive bilateral radiation pneumonitis which developed acutely after salvage radiotherapy for squamous cell carcinoma in the left upper lobe of the lung. The condition was confirmed by a diagnostic help of histopathologic findings.
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Lung neoplasms, Radiotherapy, Radiation pneumonits
KMID :
0982820120110020097
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This study described a case of extensive bilateral radiation pneumonitis which developed acutely after salvage radiotherapy for squamous cell carcinoma in the left upper lobe of the lung.