A case of acute exacerbation of idiopathic pulmonary fibrosis after proton beam therapy for non-small cell lung cancer

Tatsuya Nagano, Yoshikazu Kotani, Osamu Fujii, Yusuke Demizu, Yasue Niwa, Yoshiharu Ohno, Wataru Nishio, Tomoo Itoh, Masao Murakami, Yoshihiro Nishimura

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Abstract

There have been no reports describing acute exacerbations of idiopathic pulmonary fibrosis after particle radiotherapy for non-small cell lung cancer. The present study describes the case of a 76-year-old Japanese man with squamous cell carcinoma of the lung that relapsed in the left upper lobe 1 year after right upper lobectomy. He had been treated with oral prednisolone 20 mg/day every 2 days for idiopathic pulmonary fibrosis, and the relapsed lung cancer was treated by proton beam therapy, which was expected to cause the least adverse effects on the idiopathic pulmonary fibrosis. Fifteen days after the initiation of proton beam therapy, the idiopathic pulmonary fibrosis exacerbated, centered on the left upper lobe, for which intensive steroid therapy was given. About 3 months later, the acute exacerbation of idiopathic pulmonary fibrosis had improved, and the relapsed lung cancer became undetectable. Clinicians should be aware that an acute exacerbation of idiopathic pulmonary fibrosis may occur even in proton beam therapy, although proton beam therapy appears to be an effective treatment option for patients with idiopathic pulmonary fibrosis.

Original languageEnglish
Article numberhys115
Pages (from-to)965-969
Number of pages5
JournalJapanese journal of clinical oncology
Volume42
Issue number10
DOIs
Publication statusPublished - 10-2012

All Science Journal Classification (ASJC) codes

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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    Nagano, T., Kotani, Y., Fujii, O., Demizu, Y., Niwa, Y., Ohno, Y., Nishio, W., Itoh, T., Murakami, M., & Nishimura, Y. (2012). A case of acute exacerbation of idiopathic pulmonary fibrosis after proton beam therapy for non-small cell lung cancer. Japanese journal of clinical oncology, 42(10), 965-969. [hys115]. https://doi.org/10.1093/jjco/hys115