Case Report

Oxaliplatin-Induced Pulmonary Toxicity in Gastrointestinal Malignancies: Two Case Reports and Review of the Literature

Table 1

Reported cases of pulmonary toxicity related to oxaliplatin.

References numberPatient age/genderAim of treatmentCumulative dose of oxaliplatin (mg/m2)Number of cyclesRegimenPrevious lung diseaseOutcome

[4]60/MMetastatic disease9107FOLFOXNoneResolved

[5]60/FMetastatic diseaseNANAFOLFOXNoneResolved

[6]68/FAdjuvant5106FOLFOX/single agent oxaliplatinNoneDeath

[7]64/MMetastatic disease (gastric ca)2002FOLFOXNoneResolved
75/MMetastatic disease (gastric ca)1001FOLFOXNoneResolved

[8]74/MAdjuvant5106FOLFOXNoneDeath

[9]67/MMetastatic disease (HCC)110011FOLFOXPulmonary artery stenosis, lung metastasesResolved

[10]62/MAdjuvant5957FOLFOXNoneDeath
77/MMetastatic disease5957FOLFOXNoneResolved

[11]30/FAdjuvant5106FOLFOXNoneResolved

[12]66/MMetastatic disease102012FOLFOXNoneDeath

[13]73/FMetastatic disease3404FOLFOXLung metastasesDeath
71/MAdjuvant3404FOLFOXWegener’s granulomatosis, mild COPDDeath

[14]82/MMetastatic disease85010FOLFOXNoneResolved

[15]71/MAdjuvant5106FOLFOXMild interstitial lung diseaseDeath
77/FAdjuvant102012FOLFOXAsymptomatic ground glass opacities at right lung baseResolved
69/MAdjuvantNA6FOLFOXAsymptomatic subpleural infiltrateResolved partially

[16]76/MMetastatic disease2602XELOXNoneDeath

[17]47/MMetastatic diseaseNANAXELOX + bevacizumabLung metastasesResolved

[18]55/MMetastatic disease110513FOLFOXNoneDeath
73/MAdjuvant7659FOLFOXEmphysematous lungsDeath

[19]69/FMetastatic disease5957FOLFOX + cetuximabMalignant pleural effusion Death

[20]73/FMetastatic disease178511FOLFOX + bevacizumabSmoking, suspected lung metastasesDeath
75/MMetastatic disease (gastric ca)7659FOLFOXLung metastasesDeath
64/MAdjuvant102012FOLFOXSmokingDeath

[21]57/MMetastatic disease7659NANone Resolved

Current paper65/FMetastatic disease102012FOLFOX + bevacizumabNoneDeath
80/MAdvanced locoregional disease144517FOLFOX + bevacizumabNoneDeath

Note. If not stated otherwise, the patient was treated for colon cancer.
FOLFOX-oxaliplatin/5-fluorouracil/leucovorin, XELOX-oxaliplatin/capecitabine.
ca: cancer.