洛拉提尼布诱导的非心脏性肺:一个病例报告
Suzuka Matsuoka1, Hiromi Watanabe1, Tomoyoshi Inoue1
1Department of Respiratory Medicine, NHO Okayama Medical Center, Japan.
Internal medicine (Tokyo, Japan)
|April 29, 2025
概括
这项案例研究突出了洛拉提尼布在患有形淋巴瘤激酶阳性肺癌的患者中引起非心脏性肺的罕见实例. 患者在接受治疗后康复,并且在用较低的洛拉提尼布剂量重新尝试时显示出部分反应.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 肺部病理学 肺部病理学
背景情况:
- 无细胞淋巴瘤激酶 (ALK) 阳性转移性肺腺癌是一种独特的非小细胞肺癌亚型.
- 铁氨酸激酶抑制剂 (TKIs),如洛拉提尼布,是ALK阳性肺癌的有效治疗方法.
- 与TKI相关的不良事件需要仔细监测和管理.
研究的目的:
- 报告一个罕见的洛拉提尼布诱导的非心脏性肺瘤病例.
- 讨论这种不良事件的临床表现,管理和结果.
- 强调识别和管理洛拉提尼布对肺部的毒性的重要性.
主要方法:
- 一个71岁的妇女患有ALK阳性转移性肺腺癌的病例报告.
- 开始服用洛拉提尼布每天100毫克.
- 由于非心脏性肺而入院,随后进行利尿疗法,并在降低剂量后重新使用洛拉提尼布.
- 使用计算机断层扫描对治疗反应的评估.
主要成果:
- 患者在开始服用洛拉提尼布三周后出现了非心脏性肺.
- 肺胀症通过利尿剂治疗得到缓解.
- 在降低剂量的Lorlatinib重复挑战是可以容忍的.
- 计算机断层扫描揭示了对重新挑战治疗的部分反应.
结论:
- 非心脏性肺是洛拉提尼布的一种罕见但严重的不良反应.
- 及时识别和管理,包括剂量修改,可以允许继续TKI治疗.
- 这一案例强调了需要警ALK阳性肺腺癌治疗洛拉提尼布患者的肺毒性.
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