Analysis of the impact of lung cancer treatment on nontuberculous mycobacterial lung diseases

Copyright © 2016 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved..

BACKGROUND: Although nontuberculous mycobacteria (NTM) lung diseases can occur in association with lung cancer, no study has evaluated the effect of lung cancer treatment on NTM lung diseases. Therefore, the present study aimed to retrospectively examine the effect of lung cancer treatment on NTM lung diseases.

METHODS: Patients diagnosed with NTM lung diseases in combination with cytologically or histologically proven lung cancer between January 1, 2010 and October 31, 2014 were enroled. The clinical history of eligible patients was retrospectively reviewed.

RESULTS: Seven hundred twenty-eight patients were diagnosed with NTM lung diseases. Among these patients, 29 (3.9%) also had lung cancer. Of the 29 patients with NTM and lung cancer, 62% had Mycobacterium avium complex as the pathogenic organism. The most common lung cancer histology was adenocarcinoma (62.1%). Anti-cancer cytotoxic chemotherapy was administered to seven patients, and the two patients who did not receive NTM treatment showed worsening of their NTM lung disease.

CONCLUSION: Whether NTM lung disease should be treated during anti-cancer chemotherapy has not been not clarified by this study. Induction of anti-NTM therapy should be made after careful consideration, because the duration of anti-NTM treatment is long and anti-mycobacterial drugs have extensive effects on anti-cancer drugs. However, we think that anti-NTM therapy should be introduced after consideration of the worsening of symptoms and radiological findings associated with NTM lung disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:55

Enthalten in:

Respiratory investigation - 55(2017), 1 vom: 01. Jan., Seite 45-50

Sprache:

Englisch

Beteiligte Personen:

Tsuji, Taisuke [VerfasserIn]
Tsuyuguchi, Kazunari [VerfasserIn]
Tachibana, Kazunobu [VerfasserIn]
Kimura, Yohei [VerfasserIn]
Kobayashi, Takehiko [VerfasserIn]
Minomo, Shojiro [VerfasserIn]
Atagi, Shinji [VerfasserIn]
Matsumura, Akihide [VerfasserIn]
Hayashi, Seiji [VerfasserIn]
Suzuki, Katsuhiro [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Antineoplastic Agents
Cytotoxic chemotherapy
Journal Article
Lung cancer
Nontuberculous mycobacteria

Anmerkungen:

Date Completed 10.08.2017

Date Revised 10.08.2017

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.resinv.2016.08.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM267443986