Chemotherapy in idiopathic pulmonary fibrosis and small-cell lung cancer with poor lung function

Abstract Background Idiopathic pulmonary fibrosis (IPF) is a chronic interstitial lung disease with unclear pathogenesis. IPF is considered as a risk factor for lung cancer. Compared to other lung cancers, small-cell lung cancer (SCLC) has a lower incidence, but has a more aggressive course. Patient...

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Main Authors: Xiyue Zhang, Wei Li, Chunyan Li, Jie Zhang, Zhenzhong Su
Format: Article
Language:English
Published: BMC 2021-04-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-021-01489-4
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author Xiyue Zhang
Wei Li
Chunyan Li
Jie Zhang
Zhenzhong Su
author_facet Xiyue Zhang
Wei Li
Chunyan Li
Jie Zhang
Zhenzhong Su
author_sort Xiyue Zhang
collection DOAJ
description Abstract Background Idiopathic pulmonary fibrosis (IPF) is a chronic interstitial lung disease with unclear pathogenesis. IPF is considered as a risk factor for lung cancer. Compared to other lung cancers, small-cell lung cancer (SCLC) has a lower incidence, but has a more aggressive course. Patients with IPF and SCLC have a lower survival rate, more difficult treatment, and poorer prognosis. Case presentation Case 1 was of a 66-year-old man with IPF for 5 years, who was admitted to our hospital for dyspnea. Case 2 was of a 68-year-old woman, who presented with chest pains, cough, and dyspnea. Both patients had extremely poor lung function. High-resolution computed tomography and pathology revealed that both patients had IPF and SCLC. Chemotherapy comprising nedaplatin (80 mg/m2) and etoposide (100 mg for 5 days) was initiated for both patients. Antifibrotic agents were continued during the chemotherapeutic regimen. Both patients showed improvement in their condition after treatment. Conclusion The favorable outcomes in these 2 cases suggests that chemotherapy is worth considering in the management of patients having SCLC and IPF with poor lung function.
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spelling doaj.art-a00aa405aaf2453c9feb7393b60b20d22022-12-21T22:49:30ZengBMCBMC Pulmonary Medicine1471-24662021-04-012111410.1186/s12890-021-01489-4Chemotherapy in idiopathic pulmonary fibrosis and small-cell lung cancer with poor lung functionXiyue Zhang0Wei Li1Chunyan Li2Jie Zhang3Zhenzhong Su4Department of Respiratory and Critical Care Medicine, The Second Hospital of Jilin UniversityDepartment of Respiratory and Critical Care Medicine, The Second Hospital of Jilin UniversityDepartment of Respiratory and Critical Care Medicine, The Second Hospital of Jilin UniversityDepartment of Respiratory and Critical Care Medicine, The Second Hospital of Jilin UniversityDepartment of Respiratory and Critical Care Medicine, The Second Hospital of Jilin UniversityAbstract Background Idiopathic pulmonary fibrosis (IPF) is a chronic interstitial lung disease with unclear pathogenesis. IPF is considered as a risk factor for lung cancer. Compared to other lung cancers, small-cell lung cancer (SCLC) has a lower incidence, but has a more aggressive course. Patients with IPF and SCLC have a lower survival rate, more difficult treatment, and poorer prognosis. Case presentation Case 1 was of a 66-year-old man with IPF for 5 years, who was admitted to our hospital for dyspnea. Case 2 was of a 68-year-old woman, who presented with chest pains, cough, and dyspnea. Both patients had extremely poor lung function. High-resolution computed tomography and pathology revealed that both patients had IPF and SCLC. Chemotherapy comprising nedaplatin (80 mg/m2) and etoposide (100 mg for 5 days) was initiated for both patients. Antifibrotic agents were continued during the chemotherapeutic regimen. Both patients showed improvement in their condition after treatment. Conclusion The favorable outcomes in these 2 cases suggests that chemotherapy is worth considering in the management of patients having SCLC and IPF with poor lung function.https://doi.org/10.1186/s12890-021-01489-4Small-cell lung cancerIdiopathic pulmonary fibrosisChemotherapy
spellingShingle Xiyue Zhang
Wei Li
Chunyan Li
Jie Zhang
Zhenzhong Su
Chemotherapy in idiopathic pulmonary fibrosis and small-cell lung cancer with poor lung function
BMC Pulmonary Medicine
Small-cell lung cancer
Idiopathic pulmonary fibrosis
Chemotherapy
title Chemotherapy in idiopathic pulmonary fibrosis and small-cell lung cancer with poor lung function
title_full Chemotherapy in idiopathic pulmonary fibrosis and small-cell lung cancer with poor lung function
title_fullStr Chemotherapy in idiopathic pulmonary fibrosis and small-cell lung cancer with poor lung function
title_full_unstemmed Chemotherapy in idiopathic pulmonary fibrosis and small-cell lung cancer with poor lung function
title_short Chemotherapy in idiopathic pulmonary fibrosis and small-cell lung cancer with poor lung function
title_sort chemotherapy in idiopathic pulmonary fibrosis and small cell lung cancer with poor lung function
topic Small-cell lung cancer
Idiopathic pulmonary fibrosis
Chemotherapy
url https://doi.org/10.1186/s12890-021-01489-4
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AT chunyanli chemotherapyinidiopathicpulmonaryfibrosisandsmallcelllungcancerwithpoorlungfunction
AT jiezhang chemotherapyinidiopathicpulmonaryfibrosisandsmallcelllungcancerwithpoorlungfunction
AT zhenzhongsu chemotherapyinidiopathicpulmonaryfibrosisandsmallcelllungcancerwithpoorlungfunction