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논문 기본 정보

자료유형
학술저널
저자정보
Joong-Min Park (Chung-Ang University) In Gyu Hwang (Chung-Ang University) Suk-Won Suh (Chung-Ang University) Kyong-Choun Chi (Chung-Ang University)
저널정보
대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.81 No.6
발행연도
2011.12
수록면
414 - 418 (5page)

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초록· 키워드

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TS-1 is an oral anti-cancer agent for gastric cancer with a high response rate and low toxicity. We report a case of long-term drug retention of TS-1 causing interstitial lung disease (ILD) as a fatal adverse reaction. A 65-year-old woman underwent a total gastrectomy with pathologic confirmation of gastric adenocarcinoma. She received 6 cycles of TS-1 and low-dose cisplatin for post-operative adjuvant chemotherapy followed by single-agent maintenance therapy with TS-1. After 8 months, the patient complained of a productive cough with sputum and mild dyspnea. A pulmonary evaluation revealed diffuse ILD in the lung fields, bilaterally. In spite of discontinuing chemotherapy and the administration of corticosteroids, the pulmonary symptoms did not improve, and the patient died of pulmonary failure. TS-1-induced ILD can be caused by long-term drug retention that alters the lung parenchyma irreversibly, the outcome of which can be life-threatening. Pulmonary evaluation for early detection of disease is recommended.

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INTRODUCTION
CASE REPORT
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES

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