Gefitinib-induced pneumonitis in non-small cell lung cancer: radiological and clinical findings in five patients

Clin Imaging. 2007 Sep-Oct;31(5):306-12. doi: 10.1016/j.clinimag.2007.04.023.

Abstract

Purpose: The objective of this study was to describe the radiological and clinical features of gefitinib-induced pneumonitis in non-small cell lung cancer (NSCLC).

Materials and methods: Five patients who suffered dyspnea after gefitinib treatment were selected. Chest radiographs and computed tomography (CT) findings, along with clinical course, were evaluated.

Results: Patients complained of subacute dyspnea and hypoxia. Three patients improved after discontinuation of gefitinib, while remaining two showed no response. Unilateral or bilateral ground glass opacity was observed on chest radiographs and CT.

Conclusion: Radiological findings of gefitinib-induced pneumonitis were nonspecific, but radiologists should be aware of this adverse reaction, which can appear during the treatment in NSCLC patients.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use
  • Carcinoma, Non-Small-Cell Lung / complications
  • Carcinoma, Non-Small-Cell Lung / diagnostic imaging
  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • Female
  • Gefitinib
  • Humans
  • Lung Neoplasms / complications
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / drug therapy*
  • Male
  • Middle Aged
  • Pneumonia / chemically induced*
  • Pneumonia / diagnostic imaging*
  • Quinazolines / adverse effects*
  • Quinazolines / therapeutic use*
  • Radiography

Substances

  • Antineoplastic Agents
  • Quinazolines
  • Gefitinib