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. 2021 Sep 18;61(8):1211–1217. doi: 10.2169/internalmedicine.7300-21

Table 4.

Summary of the Patient with the Three Lenvatinib-induced Interstitial Pneumonia Reported in the Literature.

Case of Study
[referene]
Age Sex Cancer type PS Smoking history (pack year) Complication of interstitial pneumonia before the start of lenvatinib Time from first administration to the onset of drug-induced interstitial pneumonitis (month) Pattern of HRCT KL-6
(U/mL)
Lymphocyte ration of BAL(%) TBLB DLST treatment outcome
Case Rep Oncol
11:75-80, 2018 [7].
67 M Cncer of unknown primary (Squamous cell carcinoma) 0 15 no complication 1 bilateral GGO 582 61.10% no data positive discontinuation of lenvatinib recoverd
Clin J Gastroenterol
12: 355-360, 2019 [8].
59 M HCC 0 45 complication of mild interstitial pneumonitis induced by regorafenib 1 bilateral GGO 1283 no data no data negative discontinuation of lenvatinib steroid therapy recoverd
present case 84 M HCC 1 24 no complication 4 bilateral GGO
⇒bilateral infiltration shadow
1906 20.80% infiltration of lymphocyte into alveolar interstitium positive discontinuation of lenvatinib steroid therapy recoverd

BAL: bronchoalveolar lavage, DLST: drug induced lymphocyte stimulation test, GGO: ground-glass opacity, HCC: hepatic cell carcinoma, HRCT: high-resolution chest tomography, KL-6: Krebs von den Lugen-6, PS: performance status, TBLB: transbronchial lung biopsy