Video-assisted thoracoscopy in the management of intrapleural extravasation of cytotoxic chemotherapy

Thorac Cancer. 2017 Jul;8(4):363-364. doi: 10.1111/1759-7714.12430. Epub 2017 Mar 31.

Abstract

The extravasation of cytotoxic agents into subcutaneous tissue is a serious complication of chemotherapy. Unfortunately, if such extravasation occurs into the pleural space, limited data is available to guide appropriate management. We present the first report in the literature of video-assisted thoracoscopy combined with a topoisomerase II inhibitor and iron chelator, dexrazoxane, in the successful management of this complication.

Keywords: Anthracycline toxicity; chemotherapy complication; dexrazoxane; mal-positioned central line; video-assisted thoracoscopy.

Publication types

  • Case Reports

MeSH terms

  • Breast Neoplasms / drug therapy
  • Combined Modality Therapy
  • Dexrazoxane / administration & dosage*
  • Dexrazoxane / therapeutic use
  • Doxorubicin / administration & dosage
  • Doxorubicin / adverse effects
  • Extravasation of Diagnostic and Therapeutic Materials / etiology
  • Extravasation of Diagnostic and Therapeutic Materials / therapy*
  • Female
  • Humans
  • Iatrogenic Disease
  • Middle Aged
  • Thoracic Surgery, Video-Assisted
  • Thoracoscopy / methods*
  • Treatment Outcome

Substances

  • Dexrazoxane
  • Doxorubicin