title: Bleomycin-induced upper lobe fibrosis: a case report.
abstract: We report a case of late-onset pulmonary fibrosis involving the upper lobes that occurred in a young man treated with bleomycin for mediastinal germ-cell carcinoma. The parenchymal lesions became clinically apparent about two years after chemotherapy had been completed, with a slowly progressive course and sparing the lower lung fields during follow-up. Other possible diagnoses could be excluded on the basis of the patient's clinical history, laboratory tests and pathological findings.
authors.affiliation: Unità Operativa di Pneumologia, Ospedale Civile, Piacenza, Italy. almx@libero.it
authors.forename: Almerico
authors.initials: A
authors.lastname: Marruchella
authors.forename: Cosimo
authors.initials: C
authors.lastname: Franco
authors.forename: Giovanna
authors.initials: G
authors.lastname: Garavaldi
authors.forename: Mario
authors.initials: M
authors.lastname: Uccelli
authors.forename: Pietro
authors.initials: P
authors.lastname: Bottrighi
mesh_terms: D000328:Adult; D000903:Antibiotics, Antineoplastic / Q000008:administration & dosage / Q000009:adverse effects*; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage / Q000009:adverse effects*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects; D001761:Bleomycin / Q000008:administration & dosage / Q000009:adverse effects*; D018237:Germinoma / Q000188:drug therapy; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000187:drug effects* / Q000473:pathology; D008297:Male; D008479:Mediastinal Neoplasms / Q000188:drug therapy; D011658:Pulmonary Fibrosis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D000903:Antibiotics, Antineoplastic; D000964:Antimetabolites, Antineoplastic; D001761:Bleomycin