Bowel perforation after erlotinib treatment in a patient with non-small cell lung cancer

Yonsei Med J. 2011 Jul;52(4):695-8. doi: 10.3349/ymj.2011.52.4.695.

Abstract

Erlotinib is accepted as a standard second-line chemotherapeutic agent in patients with non-small cell lung cancer who are refractory or resistant to first-line platinum- based chemotherapy. There has been no previous report of bowel perforation with or without gastrointestinal metastases related to erlotinib in patients with non-small cell lung cancer. The exact mechanism of bowel perforation in patients who received erlotinib remains unclear. In this report, we report the first case of enterocutaneous fistula in a female patient with metastatic non-small cell lung cancer 9 months, following medication with erlotinib as second-line chemotherapy.

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 / drug therapy*
  • Erlotinib Hydrochloride
  • Female
  • Humans
  • Intestinal Fistula / chemically induced*
  • Intestinal Fistula / complications
  • Intestinal Fistula / diagnostic imaging
  • Intestinal Fistula / surgery
  • Intestinal Perforation / chemically induced*
  • Intestinal Perforation / complications
  • Intestinal Perforation / diagnostic imaging
  • Intestinal Perforation / surgery
  • Protein Kinase Inhibitors / adverse effects*
  • Protein Kinase Inhibitors / therapeutic use
  • Quinazolines / adverse effects*
  • Quinazolines / therapeutic use
  • Radiography
  • Sigmoid Diseases / chemically induced*
  • Sigmoid Diseases / complications
  • Sigmoid Diseases / diagnostic imaging
  • Sigmoid Diseases / surgery

Substances

  • Antineoplastic Agents
  • Protein Kinase Inhibitors
  • Quinazolines
  • Erlotinib Hydrochloride