Spontaneous pneumothorax following chemotherapy for malignant thymoma with pulmonary metastasis: report of a case.

T C Liu, S F Lin, H W Liu, T P Chen
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引用次数: 0

Abstract

Spontaneous pneumothorax is a rare complication in both primary and metastatic pulmonary neoplasms. Occasionally, pneumothorax is associated with chemotherapy of pulmonary malignancies. Pneumothorax after chemotherapy has been reported only in cases with osteogenic sarcoma, synovial sarcoma, fibrosarcoma, germinal tumors, and lymphoma with lung metastasis. We report a case of a patient with malignant thymoma who suffered from lung metastasis after radiation and adjuvant chemotherapy from lung metastasis after radiation and adjuvant chemotherapy (cyclophosphamide, adriamycin, and cis-platinum). A chest X-ray taken 2 days after chemotherapy showed bilateral pneumothorax, which was resolved with conservative treatment. The pneumothorax in this patient is believed to have been caused by the rupturing of the tumor into the pleural cavity and the bronchi.

恶性胸腺瘤合并肺转移化疗后自发性气胸1例。
自发性气胸是原发性和转移性肺肿瘤中一种罕见的并发症。偶尔,气胸与肺部恶性肿瘤的化疗有关。化疗后气胸仅见于骨肉瘤、滑膜肉瘤、纤维肉瘤、生发性肿瘤和伴有肺转移的淋巴瘤。我们报告一例恶性胸腺瘤患者在放疗和辅助化疗(环磷酰胺、阿霉素和顺铂)后发生肺转移。化疗后2天胸片显示双侧气胸,经保守治疗解决。这个病人的气胸被认为是由肿瘤破裂进入胸膜腔和支气管引起的。
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