A 26-year-old man cured of childhood acute lymphoblastic leukemia unde
rwent a single lung transplant for drug-induced pulmonary toxicity 9 y
ears after the completion of chemotherapy. It is not known whether pat
ients cured of a malignancy who undergo organ transplantation are at i
ncreased risk of malignancy as compared to other organ transplant reci
pients. There was no evidence of recurrent or secondary malignancy in
this case. Since single lung transplantation has been effective for id
iopathic pulmonary fibrosis, it should be considered for patients cure
d of a malignancy who develop chemotherapy-induced pulmonary fibrosis.