乳房温存療法に伴う放射線照射後に発症したＢＯＯＰ様肺炎の１例

• 森藤 雅彦

  広島記念病院外科

• 中井 志郎

  広島記念病院外科

• 藤本 三喜夫

  広島記念病院外科

• 宮本 勝也

  広島記念病院外科

• 横山 雄二郎

  広島記念病院外科

• 中村 浩之

  広島記念病院外科

書誌事項

タイトル別名

• A CASE OF BRONCHIOLITIS OBLITERANS ORGANIZING PNEUMONIA (BOOP) INDUCED RADIOTHERAPY AFTER BREAST PRESERVING THERAPY

抄録

We report the case of a 59-year-old woman who underwent conserving surgery for the left breast, and received chemotherapy and radiation therapy to the remainning part of the left breast. About five months after the termination of irradiation, cough and fever developed. Chest radiography and computed tomography showed an infiltrative shadow in the left lung. Various antibiotic therapies were performed but the laboratory data and radiographs showed detenoration. We clinically diagnosed this case as having Bronchiolitis Obliterans Organizing Pneumonia (BOOP) syndrome after radiation therapy. Corticosteroid treatment resulted in rapid clinical improvement. Thereafter, oral predonisolone was administered and gradually decreased. Nevertheless, new infiltrative shadows developed in the right lung. An increased dose of predonisolone resulted in rapid improvement of the clinical symptoms and chest radiograph abnormalities. Although the etiology of BOOP syndrome is unknown, it is important to remember that the BOOP syndrome may occur as a complication of breast-conserving therapy.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 67 (11), 2574-2578, 2006

  日本臨床外科学会

キーワード

• 閉塞性細気管支炎
• 乳房温存療法
• 放射線治療

詳細情報

• CRID: 1390282679825557376
• NII論文ID: 130003604808
• NII論文ID: 10018653549
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.2574
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/11/67_11_2574/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007106385
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可