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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Erlotinib

3

XI.w Cavitation/necrosis of lung tumor or metastases

1
Last update : 23/02/2015
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Tyrosine kinase inhibitors (EGFR) TKI
5

Publications

Rare occurrence of cavitation of lung metastases following effective targeted therapy: A case report.
Oncology letters 2016 Feb;11;1589-1591 2016 Feb
New targeted molecular therapies for cancer: radiological response in intrathoracic malignancies and cardiopulmonary toxicity: what the radiologist needs to know.
Cancer imaging : the official publication of the International Cancer Imaging Society 2014 Jul 23;14;26 2014 Jul 23

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