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Nodular Pneumonitis after Chemotherapy for Germ Cell Tumors

Donald L. Trump, MD; Eric Bartel, BS; and Myron Pozniak, MD
[+] Article and Author Information

Grant Support: Partial support by a grant from the American Cancer Society Assistantship Program and a grant from the Paul B. Cohen Memorial Fund.

Requests for Reprints: Donald L. Trump, MD, Duke University Medical Center, Box 3398, Durham, NC 27710.

Current Author Addresses: Dr. Trump: Duke University Medical Center, Box 3398, Durham, NC 27710.

Mr. Bartel: University of Wisconsin Medical School, Madison, WI 53705. Dr. Pozniak: Room E3/311, Clinical Science Center, 600 Highland Avenue, Madison, WI 53792.


Ann Intern Med. 1988;109(5):431-432. doi:10.7326/0003-4819-109-5-431
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This excerpt has been provided in the absence of an abstract.

Cisplatin-bleomycin-based combination chemotherapy is curative for patients with extensive metastatic germ cell cancer (1, 2). Optimal management of these patients requires repeated serologic and radiographic assessment to monitor regression of disease after chemotherapy. If masses are seen by radiography after chemotherapy and serum markers are normal, surgical removal of these masses is indicated. Surgery will either confirm the eradication of all malignancy by revealing only mature teratoma or necrosis and fibrosis in these masses or reveal residual cancer requiring additional therapy (1, 2). We have noted the appearance of new nodular pulmonary infiltrates by computed tomographic (CT) scan of the

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