| Literature DB >> 29581622 |
Kenichi Nishie1,2, Masanori Yasuo1, Yoshiaki Kitaguchi1, Nobumitsu Kobayashi1, Kazunari Tateishi1, Atsuhito Ushiki1, Kazuhisa Urushihata1, Hiroshi Yamamoto1, Gen Ideura3, Masayuki Hanaoka1.
Abstract
A 66-year-old male with advanced non-small-cell lung cancer (NSCLC) who was previously treated with carboplatin, pemetrexed, and bevacizumab consequently suffered from severe coughing during deglutition. Chest computed tomography (CT) revealed a tracheoesophageal fistula (TEF) between the left main bronchus and esophagus through a subcarinal metastatic lymph node. Given the extreme swelling of the lymph node due to metastatic cancer, it was determined that the walls of the bronchus and esophagus had been injured simultaneously. Delayed and dysfunctional wound healing due to bevacizumab resulted in necrosis of the contact region leading to fistula formation. This case suggests that using bevacizumab for NSCLC in patients with bulky subcarinal lymphadenopathy may increase the risk for TEF.Entities:
Keywords: bevacizumab; non-small-cell lung cancer; tracheoesophageal fistula
Mesh:
Substances:
Year: 2018 PMID: 29581622 PMCID: PMC5857509 DOI: 10.18999/nagjms.80.1.129
Source DB: PubMed Journal: Nagoya J Med Sci ISSN: 0027-7622 Impact factor: 1.131