Interstitial Lung Disease Induced by Pazopanib Treatment

Intern Med. 2017;56(1):79-83. doi: 10.2169/internalmedicine.56.7380. Epub 2017 Jan 1.

Abstract

Although pneumothorax has been reported to be a major pulmonary adverse event in patients treated with pazopanib, a multikinase inhibitor, drug-induced interstitial lung disease (DILD) has not been reported. A 74-year-old Japanese man who received pazopanib for the treatment of femoral leiomyosarcoma and lung metastasis presented with dyspnea and fatigue. He had mild interstitial pneumonia when pazopanib treatment was initiated. Chest computed tomography revealed progressive bilateral ground-glass opacity (GGO) and traction bronchiectasis. We diagnosed DILD due to pazopanib. The patient's pazopanib treatment was interrupted and a steroid was administered. The symptoms and GGO were improved with treatment. Physicians should be aware of DILD due to pazopanib in patients with pre-existing interstitial lung disease.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use*
  • Asian People
  • Femoral Artery / physiopathology
  • Humans
  • Indazoles
  • Japan
  • Leiomyosarcoma / drug therapy*
  • Lung Diseases, Interstitial / chemically induced*
  • Lung Diseases, Interstitial / drug therapy*
  • Male
  • Pyrimidines / adverse effects*
  • Pyrimidines / therapeutic use*
  • Steroids / therapeutic use
  • Sulfonamides / adverse effects*
  • Sulfonamides / therapeutic use*
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Antineoplastic Agents
  • Indazoles
  • Pyrimidines
  • Steroids
  • Sulfonamides
  • pazopanib