Respiratory Medicine Case Reports (Jan 2020)

Pazopanib-induced organizing pneumonia in a patient with leiomyosarcoma: A case report

  • Chie Watanabe,
  • Jun Miyata,
  • Kotoba Esaki,
  • Ryohei Suematsu,
  • Tomoya Sano,
  • Takayuki Yamamoto,
  • Hisashi Sasaki,
  • Yohei Maki,
  • Yoichi Tagami,
  • Yoshifumi Kimizuka,
  • Yuji Fujikura,
  • Keiichi Ito,
  • Akihiko Kawana

Journal volume & issue
Vol. 30
p. 101112

Abstract

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Pazopanib, a multityrosine kinase inhibitor used for treating malignant soft tissue tumors, rarely causes adverse events associated with the respiratory system. We report a case of a 73-year-old male with leiomyosarcoma treated with pazopanib. Four months after treatment initiation, chest computed tomography showed bilateral patchy consolidation and ground-glass opacities. Bronchoscopy revealed increased lymphocytes in the bronchoalveolar lavage fluid. Histological analysis of lung tissue demonstrated intraluminal fibrotic changes in alveolar spaces. According to these findings, we diagnosed the patient with pazopanib-induced organizing pneumonia. To best of our knowledge, this is the first report of such a case.

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