Clinical Study of Radiation Pneumonitis Over 10 Years.

  • Watanabe Hiroshi
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Suga Akiko
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Tsuchihashi Yoshiko
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Hori Akihiro
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Kawakami Kenji
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Masaki Hironori
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Akiyama Moritoshi
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Ohishi Kazunori
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Takahashi Atsushi
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Nagatake Tsuyoshi
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • Matsumoto Keizo
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University

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Other Title
  • 過去10年間における放射線肺臓炎の臨床的検討

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Abstract

We studied clinical aspects of radiation pneumonitis from 1983 to 1992. Fifty seven patients admitted to our hospital because of lung cancer were treated with radiotherapy, and radiation pneumonitis developed in 20 (35.1%). The incidence of radiation pneumonitis was closely related to male sex, chronic obstructive lung disease, and chemotherapy. Pneumonitis was not related to age, or to the area or amount of radiation. Eighteen cases (90%) of pneumonitis occurred during or within one month after radiotherapy. In all but five cases (25%), pneumonitis was limited to the area of radiation. Treatment was mainly with steroids. In 4 cases (20%), pneumonitis recurred when steroid therapy was reduced, and five patients (10%) died.

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