一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 検索用
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 全文PDF

Abstract

Full Text of PDF Full Text of PDF (558k)
Article in Japanese

Case Report

A case of small cell lung cancer treated with chemotherapy in the induction period of hemodialysis following contrast-induced nephropathy

Ayako Kurosakia  Hideaki Yamasawab  Teruhiro Sanoa Hiroyoshi Yamauchia  Yoshiaki Nagaia  Koichi Hagiwaraa 

aDivision of Pulmonary Medicine, Department of Medicine, Jichi Medical University
bDivision of Pulmonary Medicine, International University of Health and Welfare

ABSTRACT

A 79-year-old man who had been diagnosed with small cell lung cancer developed contrast-induced nephropathy after systemic evaluation by contrast-enhanced computed tomography (CT).
Although his renal function started to improve after emergency hemodialysis, the patient went into respiratory failure due to progressive malignant pleural effusion. Therefore, we initiated chemotherapy using carboplatin plus etoposide while continuing hemodialysis. The pleural effusion subsequently resolved and his condition improved. Two courses of chemotherapy resulted in a reduction in the volume of the tumor.
In a situation where lung cancer needs to be treated urgently, we should consider initiating chemotherapy even during the induction phase of hemodialysis. This can be achieved by evaluating the treatment response and the prognosis of renal dysfunction.

KEYWORDS

Small cell lung cancer  Chemotherapy  Contrast-induced nephropathy  Acute renal failure  Hemodialysis 

Received 18 May 2018 / Accepted 10 Oct 2018

AJRS, 8(1): 11-15, 2019

Google Scholar