Lung squamous cell carcinoma with hemoptysis after vaccination with tozinameran (BNT162b2, Pfizer‐BioNTech)

Abstract A 66‐year‐old man with squamous cell carcinoma had been receiving chemoradiation therapy after stereotactic radiotherapy for brain metastases. Atezolizumab was initiated as second‐line therapy, after which the patient became progression‐ and recurrence‐free. Four days after his second dose...

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Autores principales: Toshiyuki Sumi, Yuta Nagahisa, Keigo Matsuura, Motoki Sekikawa, Yuichi Yamada, Hisashi Nakata, Hirofumi Chiba
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Publicado: Wiley 2021
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spelling oai:doaj.org-article:b19949a1ae4845508d85bac3487a99882021-11-14T23:28:26ZLung squamous cell carcinoma with hemoptysis after vaccination with tozinameran (BNT162b2, Pfizer‐BioNTech)1759-77141759-770610.1111/1759-7714.14179https://doaj.org/article/b19949a1ae4845508d85bac3487a99882021-11-01T00:00:00Zhttps://doi.org/10.1111/1759-7714.14179https://doaj.org/toc/1759-7706https://doaj.org/toc/1759-7714Abstract A 66‐year‐old man with squamous cell carcinoma had been receiving chemoradiation therapy after stereotactic radiotherapy for brain metastases. Atezolizumab was initiated as second‐line therapy, after which the patient became progression‐ and recurrence‐free. Four days after his second dose of tozinameran (BNT162b2, Pfizer‐BioNTech), the patient developed persistent hemoptysis. The patient had no thrombocytopenia or coagulation abnormalities. Bronchoscopy revealed active bleeding from the left lingual tracheal branch. The patient was intubated and admitted to the intensive care unit because of increased bleeding. Subsequently, left bronchial artery embolization was performed using a Serescue. Hemostasis was achieved after the procedure, and the patient was discharged 7 days after the onset of hemoptysis. Vaccination against coronavirus disease has been reported to be associated with thrombosis and cerebral hemorrhage, and the hemoptysis in this case was suspected to be induced by vaccination. In summary, the benefits of vaccination exceeded the risks of adverse events in a patient with cancer. However, in conditions such as after chemoradiation, especially in patients with radiation pneumonitis wherein the vasculature is vulnerable, patients should be carefully monitored for hemorrhagic events after vaccination.Toshiyuki SumiYuta NagahisaKeigo MatsuuraMotoki SekikawaYuichi YamadaHisashi NakataHirofumi ChibaWileyarticlehemoptysislung cancertozinameranvaccineNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENThoracic Cancer, Vol 12, Iss 22, Pp 3072-3075 (2021)
institution DOAJ
collection DOAJ
language EN
topic hemoptysis
lung cancer
tozinameran
vaccine
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle hemoptysis
lung cancer
tozinameran
vaccine
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Toshiyuki Sumi
Yuta Nagahisa
Keigo Matsuura
Motoki Sekikawa
Yuichi Yamada
Hisashi Nakata
Hirofumi Chiba
Lung squamous cell carcinoma with hemoptysis after vaccination with tozinameran (BNT162b2, Pfizer‐BioNTech)
description Abstract A 66‐year‐old man with squamous cell carcinoma had been receiving chemoradiation therapy after stereotactic radiotherapy for brain metastases. Atezolizumab was initiated as second‐line therapy, after which the patient became progression‐ and recurrence‐free. Four days after his second dose of tozinameran (BNT162b2, Pfizer‐BioNTech), the patient developed persistent hemoptysis. The patient had no thrombocytopenia or coagulation abnormalities. Bronchoscopy revealed active bleeding from the left lingual tracheal branch. The patient was intubated and admitted to the intensive care unit because of increased bleeding. Subsequently, left bronchial artery embolization was performed using a Serescue. Hemostasis was achieved after the procedure, and the patient was discharged 7 days after the onset of hemoptysis. Vaccination against coronavirus disease has been reported to be associated with thrombosis and cerebral hemorrhage, and the hemoptysis in this case was suspected to be induced by vaccination. In summary, the benefits of vaccination exceeded the risks of adverse events in a patient with cancer. However, in conditions such as after chemoradiation, especially in patients with radiation pneumonitis wherein the vasculature is vulnerable, patients should be carefully monitored for hemorrhagic events after vaccination.
format article
author Toshiyuki Sumi
Yuta Nagahisa
Keigo Matsuura
Motoki Sekikawa
Yuichi Yamada
Hisashi Nakata
Hirofumi Chiba
author_facet Toshiyuki Sumi
Yuta Nagahisa
Keigo Matsuura
Motoki Sekikawa
Yuichi Yamada
Hisashi Nakata
Hirofumi Chiba
author_sort Toshiyuki Sumi
title Lung squamous cell carcinoma with hemoptysis after vaccination with tozinameran (BNT162b2, Pfizer‐BioNTech)
title_short Lung squamous cell carcinoma with hemoptysis after vaccination with tozinameran (BNT162b2, Pfizer‐BioNTech)
title_full Lung squamous cell carcinoma with hemoptysis after vaccination with tozinameran (BNT162b2, Pfizer‐BioNTech)
title_fullStr Lung squamous cell carcinoma with hemoptysis after vaccination with tozinameran (BNT162b2, Pfizer‐BioNTech)
title_full_unstemmed Lung squamous cell carcinoma with hemoptysis after vaccination with tozinameran (BNT162b2, Pfizer‐BioNTech)
title_sort lung squamous cell carcinoma with hemoptysis after vaccination with tozinameran (bnt162b2, pfizer‐biontech)
publisher Wiley
publishDate 2021
url https://doaj.org/article/b19949a1ae4845508d85bac3487a9988
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