Abstract
Optimal treatment for HER2/neu-positive, node-positive early breast cancer should include the monoclonal antibody trastuzumab. This relatively new agent has shown very limited pulmonary toxicity. Our report describes a case of life-threatening interstitial pneumonitis associated with Guillain-Barré syndrome that occurred during the administration of adjuvant trastuzumab. The severity of the clinical presentation and the limited number of reports in the literature of acute trastuzumab-related lung injury make the description of this case of crucial interest.
MeSH terms
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Adult
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Antibodies, Monoclonal / administration & dosage
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Antibodies, Monoclonal / adverse effects*
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Antibodies, Monoclonal, Humanized
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Antineoplastic Agents / administration & dosage
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Antineoplastic Agents / adverse effects*
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Breast Neoplasms / drug therapy*
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Breast Neoplasms / pathology
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Breast Neoplasms / surgery
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Carcinoma, Ductal, Breast / drug therapy*
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Carcinoma, Ductal, Breast / pathology
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Carcinoma, Ductal, Breast / surgery
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Chemotherapy, Adjuvant
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Female
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Guillain-Barre Syndrome / complications*
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Humans
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Lung Diseases, Interstitial / chemically induced
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Lung Diseases, Interstitial / diagnostic imaging
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Lung Diseases, Interstitial / etiology*
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Severity of Illness Index
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Tomography, X-Ray Computed
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Trastuzumab
Substances
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Antibodies, Monoclonal
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Antibodies, Monoclonal, Humanized
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Antineoplastic Agents
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Trastuzumab