title: [Migratory pneumonitis similar to bronchiolitis obliterans organizing pneumonia after conservative treatment of breast cancer: a case report].
abstract: We report the case of a 63-year-old woman who developed cough and fever with migratory lung infiltrates three months after completion of right breast irradiation following conservative surgery. Lung infiltrates were initially localized in the irradiated area, but later spread to unirradiated areas in both lungs. No cause of migratory pneumonitis other than irradiation was found, and we clinically diagnosed this case as radiation-induced migratory pneumonitis similar to BOOP, without lung biopsy. Steroid therapy resulted incomplete resolution of lung infiltrates. The reported case clearly differed from typical radiation pneumonitis. We suggest that lung irradiation might trigger the development of migratory pneumonitis with a clinical pattern similar to that of BOOP.
authors.affiliation: Department of Radiology, Hiroshima University School of Medicine.
authors.forename: K
authors.initials: K
authors.lastname: Matsuura
authors.forename: Y
authors.initials: Y
authors.lastname: Hirokawa
authors.forename: A
authors.initials: A
authors.lastname: Matsuura
authors.forename: Y
authors.initials: Y
authors.lastname: Akagi
authors.forename: K
authors.initials: K
authors.lastname: Ito
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000532:radiotherapy*; D018549:Cryptogenic Organizing Pneumonia / Q000000981:diagnostic imaging* / Q000188:drug therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D017564:Radiation Pneumonitis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone