Rapid-Onset Acute Respiratory Distress Syndrome (ARDS) in a Patient Undergoing Metastatic Liver Resection: A Case Report and Review of the Literature

Table 1

Anamnesis.

December 1994	Diagnosis of breast cancer followed by a resection of the left breast
January 1995–June 1995	Adjuvant chemotherapy (cyclophosphamide, metothrexate, 5-fluoruracil)
January 1995–June 2005	Tamoxifen
June 2005	Diagnosis and extirpation of a lymph node metastasis in the left supraclavicular area
July 2005–September 2005	Radiation of the left supraclavicular area
December 2005	Diagnosis of a metastasis in the ventral part of the mediastinum with an osteolytic destruction of the breastbone
January 2006–February 2006	Radiation of the mediastinum
March 2006	Diagnosis of a liver metastasis (S4a)
March 2006–July 2006	Chemotherapy (trastuzumab, docetaxel) was followed by a complete remission of the metastasis
July 2006–October 2008	Monotherapy with trastuzumab
October 2008	Reappearance of the liver metastasis with a dimension increase
October 2008–March 2009	Chemotherapeutics were escalated towards lapatinib and capecitabine
March 2009–August 2009	Dimension decrease of the liver metastasis. Monotherapy with lapatinib due to capecitabine associated hemorrhagic diarrhea.
September 2009	Left-sided hemihepatectomy followed by an ARDS