Description

Sakurada et al identified risk factors for interstitial lung disease (ILD) developing in a patient being treated for lung cancer. These can help to identify a patient who may require more careful treatment planning to avoid this complication. The authors are from the University of Tokushima and Kyushu University Hospital in Japan.


 

Patient selection: lung cancer

 

Outcome: interstitial lung disease (ILD)

 

Risk factors (and prognostic factors) for interstitial lung disease:

(1) pre-existing interstitial lung disease

(2) therapy with epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) such as erlotinib (see above)

(3) >= 2 previous chemotherapy regimens

 

Symptoms associated with chemotherapy-induced ILD:

(1) unexplained fever

(2) onset or worsening of cough

(3) onset or worsening of dyspnea

 

A chest X-ray may show ground-glass opacities, consolidation and/or reticular shadow even in the absence of symptoms.

 


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