Abstract
Two of 33 patients entered in a local pilot study of mitomycin, vinblastine, and cisplatin for non-small cell lung cancer developed vinblastine-associated pulmonary toxicity. As with other reports of vinca alkaloid-related pulmonary toxicity, the regimen included mitomycin. Based on these cases and others previously reported, the incidence of abrupt pulmonary toxicity following vinca alkaloid administration as part of mitomycin/vinca alkaloid combination appears to be three to six percent. Suggestions for management are given.
MeSH terms
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Adenocarcinoma / drug therapy
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Aged
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Antineoplastic Combined Chemotherapy Protocols / adverse effects*
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Carcinoma, Squamous Cell / drug therapy
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Cisplatin / administration & dosage
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Cisplatin / adverse effects
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Humans
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Lung Neoplasms / drug therapy
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Male
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Middle Aged
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Mitomycins / administration & dosage
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Mitomycins / adverse effects
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Pilot Projects
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Pneumonia / chemically induced*
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Vinblastine / administration & dosage
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Vinblastine / adverse effects
Substances
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Mitomycins
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Vinblastine
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Cisplatin