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( Kyu Hyoung Lim ),( Ho Il Yoon ),( Young Ae Kang ),( Keun Wook Lee ),( Jee Hyun Kim ),( Soo Mee Bang ),( Jae Ho Lee ),( Choon Taek Lee ),( Jong Seok Lee ) 대한내과학회 2010 The Korean Journal of Internal Medicine Vol.25 No.1
Background/Aims: The aim of our study was to determine the incidence and clinical features of severe pulmonary complications in patients receiving cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) or rituximab plus CHOP (R-CHOP) as the initial treatment for lymphoma. Methods: A retrospective analysis of pulmonary infection and drug-induced interstitial pneumonitis (D2P) was performed using lymphoma registry data. R-CHOP was administered in 71 patients and CHOP in 29 patients. Results: The severe pulmonary adverse events tended to occur more frequently with R-CHOP (18.3%) than CHOP alone (13.8%), although the difference was not significant (p=0.771). D2P occurred in five patients in the R-CHOP arm (7%) and in one in the CHOP arm (3%). The continuous use of steroids for conditions other than lymphoma significantly increased the risk of pulmonary infection including Pneumocystis jiroveci pneumonia (p=0.036) in the multivariate analysis. International prognostic index, tumor stage, smoking, previous tuberculosis, chronic obstructive pulmonary disease, and lymphoma involvement of lung parenchyma were not related to pulmonary adverse events. Patients who experienced severe pulmonary events showed shorter survival when compared to those without complications (p=0.002). Conclusions: Our experiences with serial cases with D2P during chemotherapy and the correlation of continuous steroid use with pulmonary infection suggest that the incidence of pulmonary complications might be high during lymphoma treatment, and careful monitoring should be performed. (Korean J Intern Med 2010;25:86-92)
( Kyu Hyoung Lim ),( Keun Wook Lee ),( Jee Hyun Kim ),( So Yeon Park ),( Sung Hee Choi ),( Jong Seok Lee ) 대한내과학회 2010 The Korean Journal of Internal Medicine Vol.25 No.4
A 63-year-old female was admitted to our hospital with a tender abdominal wall mass about 15 cm in diameter, which she had for 1 month. About 1 week earlier, the patient had also perceived a mass in the neck area. Computed tomography revealed huge thyroid and periumbilical masses. The thyroid hormone levels were consistent with a hyperthyroid state. Pathological examination of the thyroid mass was compatible with anaplastic thyroid carcinoma (ATC) and the abdominal cutaneous mass was shown to be metastatic ATC. Despite palliative radiotherapy and chemotherapy, the patient died of respiratory failure on her 63rd day of hospitalization. This case demonstrates that abdominal cutaneous metastasis and hyperthyroidism can occur as initial manifestations of ATC. To our knowledge, this is the first reported case. (Korean J Intern Med 2010;25:450-453)