Skip to main content

Noninfectious Lung Involvement in Patients with Hematological Malignancies (Excluding BMT)

  • Chapter
  • First Online:
Pulmonary Involvement in Patients with Hematological Malignancies
  • 1107 Accesses

Abstract

Pulmonary involvement is a frequent condition in patients with hematological malignancies. If infectious disease and cardiac failure are still the most frequent causes, other etiologies are being increasingly recognized and represent a difficult challenge in diagnostic terms for the physician. Compared to the estimated annual incidence of venous thromboembolism (VTE) in the general population and in the cancer population, the estimated rate for hematological patients is higher and close to the incidence of VTE in with high-risk solid tumors patients. For instance, VTE has been found in less than 6% of acute leukemia patients, 17% of patients with myeloma and 6–60% of patients with lymphoma. Drug-related pulmonary toxicity is being increasingly described, mainly with “old” drugs with new indications or with new drugs. Radiation pneumonitis is now rare in hematological patients without total body irradiation, but its incidence may be increased by a concomitant drug treatment. It is now admitted that conventional dose anticancer treatment increases the risk of secondary cancers, and this late complication, with the decrease of other complications such as radiation-induced fibrosis, is now one of the most challenging questions needing to be answered. This review addresses the challenge of noninfectious pulmonary involvement in patients with hematological malignancies who are not BMT recipients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Asakura S, Colby TV (1994) Agnogenic myeloid metaplasia with extramedullary hematopoiesis and fibrosis in the lung. Report of two cases. Chest 105:1866–1868

    Article  PubMed  CAS  Google Scholar 

  2. Bartlett RP, Greipp PR, Tefferi A et al (1995) Extramedullary hematopoiesis manifesting as a symptomatic pleural effusion. Mayo Clin Proc 70:1161–1164

    Article  PubMed  CAS  Google Scholar 

  3. Baz R, Li L, Kottke-Marchant K et al (2005) The role of aspirin in the prevention of thrombotic complications of thalidomide and anthracycline-based chemotherapy for multiple myeloma. Mayo Clin Proc 80:1568–1574

    Article  PubMed  CAS  Google Scholar 

  4. Camus P, Foucher P Pneumotox® website (1997) Last update 2009 http//pneumotox.com.

    Google Scholar 

  5. Caruso V, Iacoviello L, Di Castelnuovo A et al (2007) Venous thrombotic complications in adults undergoing induction treatment for acute lymphoblastic leukemia: results from a meta-analysis. J Thromb Haemost 5:621–623

    Article  PubMed  CAS  Google Scholar 

  6. Caruso V, Iacoviello L, Castelnuovo D et al (2006) Thrombotic complications in childhood acute lymphoblastic leukemia: a meta-analysis of 17 prospective studies comprising 1, 752 pediatric patients. Blood 108:2216–2222

    Article  PubMed  CAS  Google Scholar 

  7. Chen CI, Abraham R, Tsang et al (2001) Radiation-associated pneumonitis following autologous stem cell transplantation: predictive factors, disease characteristics and treatment outcomes. Bone Marrow Transplant 27: 177–182

    Article  PubMed  CAS  Google Scholar 

  8. Cordonnier C, Fleury-Feith J, Escudier E et al (1994) Secondary alveolar proteinosis is a reversible cause of respiratory failure in leukemic patients. Am J Respir Crit Care Med 149:788–794

    PubMed  CAS  Google Scholar 

  9. Dingli D, Utz JP, Krowka MJ et al (2001) Unexplained pulmonary hypertension in chronic myeloproliferative disorders. Chest 120:801–808

    Article  PubMed  CAS  Google Scholar 

  10. El Accaoui RN, Shamseddeen WA, Taher AT (2007) Thalidomide and thrombosis. A meta-analysis. Thromb Haemost 97:1031–1036

    PubMed  CAS  Google Scholar 

  11. Falanga A, Marchetti M (2009) Venous thromboembolism in the hematologic malignancies. J Clin Oncol 27: 4848–4857

    Article  PubMed  CAS  Google Scholar 

  12. Goldschmidt N, Linetsky E, Shalom E, Varon D, Siegal T (2003) High incidence of thromboembolism in patients with central nervous system lymphoma. Cancer 98:1239–1242

    Article  PubMed  Google Scholar 

  13. Guilpain P, Montani D, Damaj G et al (2008) Pulmonary hypertension associated with myeloproliferative disorders: a retrospective study of ten cases. Respiration 76:295–302

    Article  PubMed  CAS  Google Scholar 

  14. Hirsch A, Vander Els N, Straus DJ et al (1996) Effect of ABVD chemotherapy with and without mantle or mediastinal irradiation on pulmonary function and symptoms in early-stage Hodgkin’s disease. J Clin Oncol 14: 1297–1305

    PubMed  CAS  Google Scholar 

  15. Khorana AA, Francis CW, Culakova E et al (2005) Risk factors for chemotherapy-associated venous thromboembolism in a prospective observational study. Cancer 104: 2822–2829

    Article  PubMed  Google Scholar 

  16. Kramer MR, Estenne M, Berkman N et al (1993) Radiation-induced pulmonary veno-occlusive disease. Chest 104: 1282–1284

    Article  PubMed  CAS  Google Scholar 

  17. Ku GH, White RH, Chew HK et al (2009) Venous thromboembolism in patients with acute leukemia: incidence, risk factors, and effect on survival. Blood 113:3911–3917

    Article  PubMed  CAS  Google Scholar 

  18. Lee AY, Levine MN (2003) Venous thromboembolism and cancer: risks and outcomes. Circulation 107:I17–21

    PubMed  Google Scholar 

  19. Lombard CM, Churg A, Winokur S (1987) Pulmonary veno-occlusive disease following therapy for malignant neoplasms. Chest 92:871–876

    Article  PubMed  CAS  Google Scholar 

  20. Lorigan P, Radford J, Howell A et al (2005) Lung cancer after treatment for Hodgkin’s lymphoma: a systematic review. Lancet Oncol 6:773–779

    Article  PubMed  Google Scholar 

  21. Mauch PM, Kalish LA, Marcus KC et al (1996) Second malignancies after treatment for laparotomy staged IA-IIIB Hodgkin’s disease: long-term analysis of risk factors and outcome. Blood 87:3625–3632

    PubMed  CAS  Google Scholar 

  22. Menon SP, Rajkumar SV, Lacy M et al (2008) Thromboembolic events with lenalidomide-based therapy for multiple myeloma. Cancer 112:1522–1528

    Article  PubMed  CAS  Google Scholar 

  23. Metayer C, Curtis RE, Vose J et al (2003) Myelodysplastic syndrome and acute myeloid leukemia after autotransplantation for lymphoma: a multicenter case-control study. Blood 101:2015–2023

    Article  PubMed  CAS  Google Scholar 

  24. Mohren M, Markmann I, Jentsch-Ullrich et al (2006) Increased risk of venous thromboembolism in patients with acute leukaemia. Br J Cancer 94:200–202

    Article  PubMed  CAS  Google Scholar 

  25. Ng AK, Bernardo P, Weller E et al (2002) Second malignancy after Hodgkin disease treated with radiation therapy with or without chemotherapy: long-term risks and risk factors. Blood 100:1989–1996

    Google Scholar 

  26. Ottinger H, Belka C, Kozol et al (1995) Deep venous thrombosis and pulmonary artery embolism in high-grade non Hodgkin’s lymphoma: incidence, causes and prognostic relevance. Eur J Haematol 54:186–194

    Article  PubMed  CAS  Google Scholar 

  27. Pezner RD, Horak DA, Sayegh HO et al (1990) Spontaneous pneumothorax in patients irradiated for Hodgkin’s disease and other malignant lymphomas. Int J Radiat Oncol Biol Phys 18:193–198

    Article  PubMed  CAS  Google Scholar 

  28. Shapiro SJ, Shapiro SD, Mill WB et al (1990) Prospective study of long-term pulmonary manifestations of mantle irradiation. Int J Radiat Oncol Biol Phys 19:707–714

    Article  PubMed  CAS  Google Scholar 

  29. Swerdlow AJ, Douglas AJ, Hudson GV et al (1992) Risk of second primary cancers after Hodgkin’s disease by type of treatment: analysis of 2846 patients in the British National Lymphoma Investigation. BMJ 304:1137–1143

    Article  PubMed  CAS  Google Scholar 

  30. Travis LB, Gospodarowicz M, Curtis RE et al (2002) Lung cancer following chemotherapy and radiotherapy for Hodgkin’s disease. J Natl Cancer Inst 94:182–192

    PubMed  Google Scholar 

  31. van Leeuwen FE, Klokman WJ, Stovall M et al (1995) Roles of radiotherapy and smoking in lung cancer following Hodgkin’s disease. J Natl Cancer Inst 87:1530–1537

    Article  PubMed  Google Scholar 

  32. Zangari M, Tricot G, Polavaram L et al (2010) Survival effect of venous thromboembolism in patients with multiple myeloma treated with lenalidomide and high-dose dexamethasone. J Clin Oncol 28:132–135

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bernard Maitre .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Maitre, B. (2011). Noninfectious Lung Involvement in Patients with Hematological Malignancies (Excluding BMT). In: Azoulay, E. (eds) Pulmonary Involvement in Patients with Hematological Malignancies. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-15742-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-15742-4_6

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-15741-7

  • Online ISBN: 978-3-642-15742-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics