Impact of open lung biopsy for undiagnosed pulmonary infiltrates in patients with hematological malignancies

Ming Shen Dai, Shih Chun Lee, Ching Liang Ho, Yu Chin Chen, Wei You Kao, Tsu Yi Chao

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

Abstract

Pulmonary complications are frequently encountered in patients with hematological malignancy. The optimal therapeutic decision including open lung biopsy (OLB) for such patients is uncertain. We herein examine the clinical impact of OLB on these patients. Seven patients with progressively diffuse pulmonary infiltrates despite aggressive medical treatment were examined. The underlying diseases, prior treatment for presumptive pneumonia, the change in therapeutic approach after operation, and clinical outcome were reviewed retrospectively. Diffuse pulmonary infiltrates were caused by infection in two patients and by noninfectious etiology such as alveolar proteinosis, idiopathic interstitial pneumonitis, leukemic involvement, and drug-induced alveolar damage in the others. Four patients who had serious underlying hematologic diseases such as myelodysplastic syndrome, acute and chronic myeloid leukemia, and T cell lymphoma died. Three patients with acute lymphoid leukemia survived. In two of these three, change of therapeutic strategies after OLB was created for the survival. OLB in patients with hematological malignancy may be useful in selected patients with a treatable hematologic disease who have treatable underlying causes of the pulmonary Infiltrate.

Original languageEnglish
Pages (from-to)87-90
Number of pages4
JournalAmerican Journal of Hematology
Volume68
Issue number2
DOIs
Publication statusPublished - 2001
Externally publishedYes

Keywords

  • Hematological malignancy
  • Open lung biopsy
  • Pulmonary infiltrates

ASJC Scopus subject areas

  • Hematology

Fingerprint

Dive into the research topics of 'Impact of open lung biopsy for undiagnosed pulmonary infiltrates in patients with hematological malignancies'. Together they form a unique fingerprint.

Cite this