Herpes zoster and small cell bronchogenic carcinoma
In nine of 74 (12 per cent) consecutive, previously untreated patients with small cell bronchogenic carcinoma receiving combination chemotherapy herpes zoster developed. This is the highest frequency reported for this viral infection in patients with nonlymphoproliferative solid tumors. Cutaneous di...
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Published in | The American journal of medicine Vol. 68; no. 2; pp. 214 - 218 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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United States
Elsevier Inc
01.01.1980
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Abstract | In nine of 74 (12 per cent) consecutive, previously untreated patients with small cell bronchogenic carcinoma receiving combination chemotherapy herpes zoster developed. This is the highest frequency reported for this viral infection in patients with nonlymphoproliferative solid tumors. Cutaneous dissemination developed in six of the nine patients, but visceral involvement did not occur. The major difference between the patients with herpes zoster and those without was the superior duration of median survival for the infected patients. No relationship could be established between the development of herpes zoster and the extent of neoplastic disease, prior radiotherapy, treatment with specific chemotherapeutic agents or corticosteroids, cutaneous anergy or granulocytopenia. Serum specimens obtained from six of the nine patients prior to their infection demonstrated the preexistence of varicella zoster antibodies. As more effective and intensive chemotherapy prolongs the survival of patients with solid tumors, it is possible that the frequency of herpes zoster infection may approach that observed in patients with lymphoproliferative malignancies. |
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AbstractList | In nine of 74 (12 per cent) consecutive, previously untreated patients with small cell bronchogenic carcinoma receiving combination chemotherapy herpes zoster developed. This is the highest frequency reported for this viral infection in patients with nonlymphoproliferative solid tumors. Cutaneous dissemination developed in six of the nine patients, but visceral involvement did not occur. The major difference between the patients with herpes zoster and those without was the superior duration of median survival for the infected patients. No relationship could be established between the development of herpes zoster and the extent of neoplastic disease, prior radiotherapy, treatment with specific chemotherapeutic agents or corticosteroids, cutaneous anergy or granulocytopenia. Serum specimens obtained from six of the nine patients prior to their infection demonstrated the preexistence of varicella zoster antibodies. As more effective and intensive chemotherapy prolongs the survival of patients with solid tumors, it is possible that the frequency of herpes zoster infection may approach that observed in patients with lymphoproliferative malignancies. In nine of 74 (12 per cent) consecutive, previously untreated patients with small cell bronchogenic carcinoma receiving combination chemotherapy herpes zoster developed. This is the highest frequenzy reported for this viral infection in patients with nonlymphoproliferative solid tumors. Cutaneous dissemination developed in six of the nine patients, but visceral involvement did not occur. The major difference between the patients with herpes zoster and those without was the superior duration of median survival for the infected patients. No relationship could be established between the development of herpes zoster and the extent of neoplastic disease, prior radiotherapy, treatment with specific chemotherapeutic agents or corticosteroids, cutaneous anergy or granulocytopenia. Serum specimens obtained from six of the nine patients prior to their infection demonstrated the preexistence of varicella zoster antibodies. As more effective and intensive chemotherapy prolongs the survival of patients with solid tumors, it is possible that the frequency of herpes zoster infection may approach that observed in patients with lymphoproliferative malignancies. |
Author | Bunn, Paul A. Fossieck, Byron E. Minna, John D. Huberman, Mark Cohen, Martin H. Ihde, Daniel C. |
Author_xml | – sequence: 1 givenname: Mark surname: Huberman fullname: Huberman, Mark – sequence: 2 givenname: Byron E. surname: Fossieck fullname: Fossieck, Byron E. – sequence: 3 givenname: Paul A. surname: Bunn fullname: Bunn, Paul A. – sequence: 4 givenname: Martin H. surname: Cohen fullname: Cohen, Martin H. – sequence: 5 givenname: Daniel C. surname: Ihde fullname: Ihde, Daniel C. – sequence: 6 givenname: John D. surname: Minna fullname: Minna, John D. |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/6243858$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1002/1097-0142(197202)29:2<461::AID-CNCR2820290233>3.0.CO;2-3 10.1016/0002-9343(78)90791-X 10.1001/archderm.1961.01580140068007 10.7326/0003-4819-89-3-375 10.7326/0003-4819-76-2-235 10.1016/0021-9681(58)90126-7 10.1002/1097-0142(197801)41:1<95::AID-CNCR2820410114>3.0.CO;2-Q 10.1001/jama.1977.03270500080037 10.1001/jama.1979.03290430031019 10.1001/archinte.1965.03870030009003 10.1016/0002-9343(65)90212-3 10.1136/bmj.1.5010.84 10.7326/0003-4819-76-2-241 10.1016/0014-2964(75)90037-7 |
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References | Reboul, Donaldson, Kaplan (BIB14) 1978; 41 Feldman, Hughes, Daniel (BIB22) 1975; 56 Bastian, Rabson, Yee (BIB2) 1974; 97 McGregor (BIB20) 1957; 1 Bunn, Ihde, Cohen (BIB17) 1978; 62 Hope-Simpson (BIB3) 1965; 58 Cutler, Ederer (BIB18) 1958; 8 Wright, Winer (BIB6) 1961; 84 Cohen, Chretien, Ihde (BIB16) 1979; 241 Rifkind (BIB21) 1966; 68 Dolin, Reichman, Mazur (BIB5) 1978; 89 Goffinet, Glatstein, Merrigan (BIB10) 1972; 76 Wilson, Marsa, Johnson (BIB11) 1972; 29 Cohen, Idhe, Bunn (BIB15) 1979; 63 Rado, Tako, Geder (BIB23) 1965; 116 Weller (BIB1) 1953; 83 Sokal, Firat (BIB9) 1965; 39 Monfardini, Bajetta, Arnold (BIB12) 1975; 11 Schimpff, Serpick, Stoler (BIB13) 1972; 76 Cohen (BIB25) 1977; 237 Williams, Diamond, Craver (BIB4) 1959 Feldman, Hughes, Kim (BIB7) 1973; 126 Bunn, Cohen, Ihde (BIB24) 1977; 61 Goldstein (BIB19) 1964 Mazur, Dolin (BIB8) 1978; 65 Reboul (10.1016/0002-9343(80)90356-3_BIB14) 1978; 41 Feldman (10.1016/0002-9343(80)90356-3_BIB7) 1973; 126 Cohen (10.1016/0002-9343(80)90356-3_BIB16) 1979; 241 Sokal (10.1016/0002-9343(80)90356-3_BIB9) 1965; 39 Wilson (10.1016/0002-9343(80)90356-3_BIB11) 1972; 29 Rado (10.1016/0002-9343(80)90356-3_BIB23) 1965; 116 Bunn (10.1016/0002-9343(80)90356-3_BIB24) 1977; 61 Hope-Simpson (10.1016/0002-9343(80)90356-3_BIB3) 1965; 58 Schimpff (10.1016/0002-9343(80)90356-3_BIB13) 1972; 76 Wright (10.1016/0002-9343(80)90356-3_BIB6) 1961; 84 Mazur (10.1016/0002-9343(80)90356-3_BIB8) 1978; 65 Bastian (10.1016/0002-9343(80)90356-3_BIB2) 1974; 97 Feldman (10.1016/0002-9343(80)90356-3_BIB22) 1975; 56 Dolin (10.1016/0002-9343(80)90356-3_BIB5) 1978; 89 Cutler (10.1016/0002-9343(80)90356-3_BIB18) 1958; 8 Cohen (10.1016/0002-9343(80)90356-3_BIB25) 1977; 237 Goldstein (10.1016/0002-9343(80)90356-3_BIB19) 1964 Rifkind (10.1016/0002-9343(80)90356-3_BIB21) 1966; 68 Cohen (10.1016/0002-9343(80)90356-3_BIB15) 1979; 63 Weller (10.1016/0002-9343(80)90356-3_BIB1) 1953; 83 Williams (10.1016/0002-9343(80)90356-3_BIB4) 1959 Goffinet (10.1016/0002-9343(80)90356-3_BIB10) 1972; 76 Monfardini (10.1016/0002-9343(80)90356-3_BIB12) 1975; 11 Bunn (10.1016/0002-9343(80)90356-3_BIB17) 1978; 62 McGregor (10.1016/0002-9343(80)90356-3_BIB20) 1957; 1 |
References_xml | – volume: 65 start-page: 738 year: 1978 ident: BIB8 article-title: Herpes zoster at the NIH: a 20 year experience publication-title: Am J Med contributor: fullname: Dolin – volume: 1 start-page: 84 year: 1957 ident: BIB20 article-title: Herpes zoster, chickenpox, and cancer in general practice publication-title: Br Med J contributor: fullname: McGregor – volume: 63 start-page: 163 year: 1979 ident: BIB15 article-title: Cyclic alternating combination chemo-therapy for small cell bronchogenic carcinoma publication-title: Cancer Treat Rep contributor: fullname: Bunn – volume: 83 start-page: 340 year: 1953 ident: BIB1 article-title: Serial propagation in vitro of agents producing inclusion bodies derived from varicella and herpes zoster publication-title: Proc Soc Exp Biol Med contributor: fullname: Weller – year: 1959 ident: BIB4 article-title: Herpes zoster publication-title: Neurological complications of lymphomas and leukemias contributor: fullname: Craver – year: 1964 ident: BIB19 article-title: Quantitative data publication-title: Biostatistics: An introductory text contributor: fullname: Goldstein – volume: 89 start-page: 375 year: 1978 ident: BIB5 article-title: Herpes zostervaricella infections in immunosuppressed patients publication-title: Ann Intern Med contributor: fullname: Mazur – volume: 11 start-page: 51 year: 1975 ident: BIB12 article-title: Herpes zoster-varicella infection in malignant lymphomas. Influence of splenectomy and intensive treatment publication-title: Eur J Cancer contributor: fullname: Arnold – volume: 241 start-page: 1813 year: 1979 ident: BIB16 article-title: Thymosin fraction V and intensive combination chemotherapy. Prolonging the survival of patients with small cell lung cancer publication-title: JAMA contributor: fullname: Ihde – volume: 41 start-page: 95 year: 1978 ident: BIB14 article-title: Herpes-zoster and varicella infections in children with Hodgkin's disease. An analysis of contributing factors publication-title: Cancer contributor: fullname: Kaplan – volume: 56 start-page: 388 year: 1975 ident: BIB22 article-title: Varicella in children with cancer: 77 cases publication-title: Pediatrics contributor: fullname: Daniel – volume: 76 start-page: 235 year: 1972 ident: BIB10 article-title: Herpes zostervaricella infections and lymphoma publication-title: Ann Intern Med contributor: fullname: Merrigan – volume: 58 start-page: 9 year: 1965 ident: BIB3 article-title: The nature of herpes zoster. A long term study and a new hypothesis publication-title: Proc R Soc Med contributor: fullname: Hope-Simpson – volume: 61 start-page: 333 year: 1977 ident: BIB24 article-title: Advances in small cell bronchogenic carcinoma publication-title: Cancer Treat Rep contributor: fullname: Ihde – volume: 29 start-page: 461 year: 1972 ident: BIB11 article-title: Herpes zoster in Hodgkin's disease. Clinical, histologic, and immunologic correlations publication-title: Cancer contributor: fullname: Johnson – volume: 62 start-page: 479 year: 1978 ident: BIB17 article-title: Streptozotocin in advanced small cell bronchogenic carcinoma: an ineffective nonmyelosuppressive agent publication-title: Cancer Treat Rep contributor: fullname: Cohen – volume: 237 start-page: 2528 year: 1977 ident: BIB25 article-title: Small cell bronchogenic carcinoma: a prolonged remission following chemotherapy publication-title: JAMA contributor: fullname: Cohen – volume: 76 start-page: 241 year: 1972 ident: BIB13 article-title: Varicella-zoster infection in patients with cancer publication-title: Ann Intern Med contributor: fullname: Stoler – volume: 39 start-page: 452 year: 1965 ident: BIB9 article-title: Varicella-zoster infection in Hodgkin's disease. Clinical and epidemiological aspects publication-title: Am J Med contributor: fullname: Firat – volume: 8 start-page: 699 year: 1958 ident: BIB18 article-title: Maximum utilization of the life table method in analyzing survival publication-title: J Chronic Dis contributor: fullname: Ederer – volume: 84 start-page: 242 year: 1961 ident: BIB6 article-title: Herpes zoster and malignancy publication-title: Arch Dermatol contributor: fullname: Winer – volume: 68 start-page: 463 year: 1966 ident: BIB21 article-title: The activation of varicella-zoster infections by immunosuppressive therapy publication-title: J Lab Clin Med contributor: fullname: Rifkind – volume: 126 start-page: 178 year: 1973 ident: BIB7 article-title: Herpes zoster in children with cancer publication-title: Am J Dis Child contributor: fullname: Kim – volume: 116 start-page: 329 year: 1965 ident: BIB23 article-title: Herpes zoster house epidemic in steroid treated patients publication-title: Arch Intern Med contributor: fullname: Geder – volume: 97 start-page: 331 year: 1974 ident: BIB2 article-title: Herpes virus varicellae isolated from human dorsal root ganglia publication-title: Arch Pathol contributor: fullname: Yee – volume: 56 start-page: 388 year: 1975 ident: 10.1016/0002-9343(80)90356-3_BIB22 article-title: Varicella in children with cancer: 77 cases publication-title: Pediatrics contributor: fullname: Feldman – volume: 29 start-page: 461 year: 1972 ident: 10.1016/0002-9343(80)90356-3_BIB11 article-title: Herpes zoster in Hodgkin's disease. Clinical, histologic, and immunologic correlations publication-title: Cancer doi: 10.1002/1097-0142(197202)29:2<461::AID-CNCR2820290233>3.0.CO;2-3 contributor: fullname: Wilson – volume: 58 start-page: 9 year: 1965 ident: 10.1016/0002-9343(80)90356-3_BIB3 article-title: The nature of herpes zoster. A long term study and a new hypothesis contributor: fullname: Hope-Simpson – volume: 65 start-page: 738 year: 1978 ident: 10.1016/0002-9343(80)90356-3_BIB8 article-title: Herpes zoster at the NIH: a 20 year experience publication-title: Am J Med doi: 10.1016/0002-9343(78)90791-X contributor: fullname: Mazur – year: 1959 ident: 10.1016/0002-9343(80)90356-3_BIB4 article-title: Herpes zoster contributor: fullname: Williams – volume: 84 start-page: 242 year: 1961 ident: 10.1016/0002-9343(80)90356-3_BIB6 article-title: Herpes zoster and malignancy publication-title: Arch Dermatol doi: 10.1001/archderm.1961.01580140068007 contributor: fullname: Wright – volume: 68 start-page: 463 year: 1966 ident: 10.1016/0002-9343(80)90356-3_BIB21 article-title: The activation of varicella-zoster infections by immunosuppressive therapy publication-title: J Lab Clin Med contributor: fullname: Rifkind – volume: 97 start-page: 331 year: 1974 ident: 10.1016/0002-9343(80)90356-3_BIB2 article-title: Herpes virus varicellae isolated from human dorsal root ganglia publication-title: Arch Pathol contributor: fullname: Bastian – year: 1964 ident: 10.1016/0002-9343(80)90356-3_BIB19 article-title: Quantitative data contributor: fullname: Goldstein – volume: 63 start-page: 163 year: 1979 ident: 10.1016/0002-9343(80)90356-3_BIB15 article-title: Cyclic alternating combination chemo-therapy for small cell bronchogenic carcinoma publication-title: Cancer Treat Rep contributor: fullname: Cohen – volume: 83 start-page: 340 year: 1953 ident: 10.1016/0002-9343(80)90356-3_BIB1 article-title: Serial propagation in vitro of agents producing inclusion bodies derived from varicella and herpes zoster contributor: fullname: Weller – volume: 89 start-page: 375 year: 1978 ident: 10.1016/0002-9343(80)90356-3_BIB5 article-title: Herpes zostervaricella infections in immunosuppressed patients publication-title: Ann Intern Med doi: 10.7326/0003-4819-89-3-375 contributor: fullname: Dolin – volume: 76 start-page: 235 year: 1972 ident: 10.1016/0002-9343(80)90356-3_BIB10 article-title: Herpes zostervaricella infections and lymphoma publication-title: Ann Intern Med doi: 10.7326/0003-4819-76-2-235 contributor: fullname: Goffinet – volume: 61 start-page: 333 year: 1977 ident: 10.1016/0002-9343(80)90356-3_BIB24 article-title: Advances in small cell bronchogenic carcinoma publication-title: Cancer Treat Rep contributor: fullname: Bunn – volume: 8 start-page: 699 year: 1958 ident: 10.1016/0002-9343(80)90356-3_BIB18 article-title: Maximum utilization of the life table method in analyzing survival publication-title: J Chronic Dis doi: 10.1016/0021-9681(58)90126-7 contributor: fullname: Cutler – volume: 41 start-page: 95 year: 1978 ident: 10.1016/0002-9343(80)90356-3_BIB14 article-title: Herpes-zoster and varicella infections in children with Hodgkin's disease. An analysis of contributing factors publication-title: Cancer doi: 10.1002/1097-0142(197801)41:1<95::AID-CNCR2820410114>3.0.CO;2-Q contributor: fullname: Reboul – volume: 62 start-page: 479 year: 1978 ident: 10.1016/0002-9343(80)90356-3_BIB17 article-title: Streptozotocin in advanced small cell bronchogenic carcinoma: an ineffective nonmyelosuppressive agent publication-title: Cancer Treat Rep contributor: fullname: Bunn – volume: 126 start-page: 178 year: 1973 ident: 10.1016/0002-9343(80)90356-3_BIB7 article-title: Herpes zoster in children with cancer publication-title: Am J Dis Child contributor: fullname: Feldman – volume: 237 start-page: 2528 year: 1977 ident: 10.1016/0002-9343(80)90356-3_BIB25 article-title: Small cell bronchogenic carcinoma: a prolonged remission following chemotherapy publication-title: JAMA doi: 10.1001/jama.1977.03270500080037 contributor: fullname: Cohen – volume: 241 start-page: 1813 year: 1979 ident: 10.1016/0002-9343(80)90356-3_BIB16 article-title: Thymosin fraction V and intensive combination chemotherapy. Prolonging the survival of patients with small cell lung cancer publication-title: JAMA doi: 10.1001/jama.1979.03290430031019 contributor: fullname: Cohen – volume: 116 start-page: 329 year: 1965 ident: 10.1016/0002-9343(80)90356-3_BIB23 article-title: Herpes zoster house epidemic in steroid treated patients publication-title: Arch Intern Med doi: 10.1001/archinte.1965.03870030009003 contributor: fullname: Rado – volume: 39 start-page: 452 year: 1965 ident: 10.1016/0002-9343(80)90356-3_BIB9 article-title: Varicella-zoster infection in Hodgkin's disease. Clinical and epidemiological aspects publication-title: Am J Med doi: 10.1016/0002-9343(65)90212-3 contributor: fullname: Sokal – volume: 1 start-page: 84 year: 1957 ident: 10.1016/0002-9343(80)90356-3_BIB20 article-title: Herpes zoster, chickenpox, and cancer in general practice publication-title: Br Med J doi: 10.1136/bmj.1.5010.84 contributor: fullname: McGregor – volume: 76 start-page: 241 year: 1972 ident: 10.1016/0002-9343(80)90356-3_BIB13 article-title: Varicella-zoster infection in patients with cancer publication-title: Ann Intern Med doi: 10.7326/0003-4819-76-2-241 contributor: fullname: Schimpff – volume: 11 start-page: 51 year: 1975 ident: 10.1016/0002-9343(80)90356-3_BIB12 article-title: Herpes zoster-varicella infection in malignant lymphomas. Influence of splenectomy and intensive treatment publication-title: Eur J Cancer doi: 10.1016/0014-2964(75)90037-7 contributor: fullname: Monfardini |
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SubjectTerms | Adult Aged Antibodies, Viral - immunology Antineoplastic Agents - administration & dosage Carcinoma, Bronchogenic - complications Carcinoma, Bronchogenic - drug therapy Carcinoma, Bronchogenic - immunology Carcinoma, Small Cell - complications Carcinoma, Small Cell - drug therapy Carcinoma, Small Cell - immunology Drug Therapy, Combination Female Herpes Zoster - complications Herpesvirus 3, Human - immunology Humans Lung Neoplasms - complications Lung Neoplasms - drug therapy Lung Neoplasms - immunology Male Middle Aged |
Title | Herpes zoster and small cell bronchogenic carcinoma |
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