Radiation pneumonitis caused by a migrated brachytherapy seed lodged in the lung

被引：32

作者：

Miura, Noriyoshi ^{[1
]}

Kusuhara, Yoshito ^{[1
]}

Numata, Kousaku ^{[1
]}

Shirato, Akitomi ^{[1
]}

Hashine, Katsuyoshi ^{[1
]}

Sumiyoshi, Yoshiteru ^{[1
]}

Kataoka, Masaaki ^{[2
]}

Takechi, Shinsuke

机构：

[1] Shikoku Canc Ctr, Dept Urol, Shikoku, Ehime, Japan

[2] Shikoku Canc Ctr, Dept Radiat Oncol, Shikoku, Ehime, Japan

来源：

JAPANESE JOURNAL OF CLINICAL ONCOLOGY | 2008年 / 38卷 / 09期

关键词：

prostate cancer; radiation pneumonitis; brachytherapy; seed migration;

D O I：

10.1093/jjco/hyn063

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

We report a case of radiation pneumonitis caused by a migrated seed lodged in the lung after prostate brachytherapy. A 71-year-old man underwent transperineal interstitial permanent prostate brachytherapy for localized prostate cancer. On the day after brachytherapy, a routine postimplant chest X-ray revealed migration of one seed to the lower lobe of the left lung. After 1 month, pulmonary opacities were observed in the left lower lobe but not near the seed. He was diagnosed with bacterial pneumonia, and antibiotic therapy was commenced. Two months after brachytherapy, the patient's symptoms, laboratory data and pulmonary opacities improved; however, an abnormal shadow (consolidation) developed around the migrated seed. Lung consolidation disappeared almost completely 12 months after brachytherapy without any medical treatment. The abnormal shadow probably represented radiation pneumonitis. To the best of our knowledge, this is the first report of radiation pneumonitis caused by a migrated brachytherapy seed in the lung.

引用

页码：623 / 625

页数：3

共 12 条

[1] Implications of radioactive seed migration to the lungs after prostate brachytherapy [J].