{"title":"Recurrent diffuse large B-Cell lymphoma with the initial manifestation of retinal involvement","authors":"Jen-Tsun Lin, Wan-Ting Yeh","doi":"10.4103/ejcrp.ejcrp-d-22-00034","DOIUrl":"https://doi.org/10.4103/ejcrp.ejcrp-d-22-00034","url":null,"abstract":"Diffuse large B-cell lymphoma (DLBL) is a common hematological disorder that frequently presents with fever and lymphadenopathy initially. Here, we present an unusual case of a 43-year-old female with a history of breast DLBL in remission. She visited the ophthalmologist 9 years after remission with the chief complaint of ocular congestion, watery discharge, and blurred vision for weeks. The optical coherent tomography revealed hyper-reflective material accumulation in the intraretinal and subretinal pigment epithelial spaces. Then, she received a retinal biopsy to confirm the etiology, and the pathology report revealed necrosis with atypical lymphocytes with CD20 positivity. Thus, the intravascular lymphoma was impressed. The whole-body positron emission tomography/computed tomography revealed no hypermetabolic extracranial malignancy. Hence, the patient received six cycles of systemic chemotherapy along with intrathecal chemotherapy and refused either radiation therapy or bone marrow transplantation. The patient achieved complete remission with no recurrence for 3 years until the present.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135602403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ling-Jung Chiu, C. Kuo, M. Ma, Chun- Liao, Hung-Lin Liu, M. Wang
{"title":"Real-world evidence of daratumumab-lenalidomide-dexamethasone in relapsed/refractory multiple myeloma patients: A single-center experience in Taiwan focusing on efficacy","authors":"Ling-Jung Chiu, C. Kuo, M. Ma, Chun- Liao, Hung-Lin Liu, M. Wang","doi":"10.4103/ejcrp.ejcrp-d-22-00032","DOIUrl":"https://doi.org/10.4103/ejcrp.ejcrp-d-22-00032","url":null,"abstract":"Background: Daratumumab (DARA) introduced in the multiple myeloma (MM) treatment strategy, producing a direct antitumor activity and immunomodulatory effects in phase I-II trial GEN501. In the POLLUX trial, the combination of DARA with lenalidomide and dexamethasone (DRd) reported impressive response rates. In Taiwan, the Dara-based regimen was supported by National Health Insurance recently, but there were no real-world data in Taiwan. Materials and Methods: We described a heavily pretreated group of 31 patients with MM who had received one or more lines of therapy to receive DRd therapy after Taiwan Food and Drug Administration approval. The primary end point was progression-free survival (PFS). Results: After a median follow-up of 22.87 (95% confidence interval [CI]: 16–29.73) months, the median time to first response was 59 days (95% CI: 24.8–81.6). Median PFS was 24.082 months (95% CI: 14–33) in patients who received DRd therapy. Twelve-month PFS showed 80.7% in the DRd group. Patients who achieved at least very good partial response (VGPR) had longer median PFS (39.8 months) than those who achieved partial response (7.35 months). The complete response rate and VGPR were 35.5% and 29%, respectively. About 22.6% of patients had a partial response. The average treatment duration was 11.48 ± 7 months. Patient experienced biological relapse at 5.88 months after discontinuing DRd treatment. Conclusion: After DRd treatment for 11.48 months, most of the patients showed biological relapse at 5.88 months, suggesting the good efficacy; however, the need of a longer maintenance treatment of DARA. The median PFS in real-world setting was consistent with the POLLUX trial regardless of more patients with high cytogenetic risks. Patient who could achieve deep response above VGPR had better PFS than those who did not.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"10 1","pages":"19 - 23"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47826251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Chen, Ching-Hung Lin, D. Yeh, L. Tseng, K. Rau, Bang-Bin Chen, T. Chao, Shu-Min Huang, D. Chang, I. Chen, A. Cheng, Yen-Shen Lu
{"title":"Anti-tumor efficacy of a bevacizumab preconditioning followed by etoposide and cisplatin regimen in human epidermal growth factor receptor-2-positive breast cancer brain metastasis refractory to whole brain radiotherapy","authors":"T. Chen, Ching-Hung Lin, D. Yeh, L. Tseng, K. Rau, Bang-Bin Chen, T. Chao, Shu-Min Huang, D. Chang, I. Chen, A. Cheng, Yen-Shen Lu","doi":"10.4103/ejcrp.ejcrp-d-23-00001","DOIUrl":"https://doi.org/10.4103/ejcrp.ejcrp-d-23-00001","url":null,"abstract":"Background: For human epidermal growth factor receptor-2 (HER2)-positive metastatic breast cancer (MBC), treating brain metastasis (BM) remains challenging. We have previously demonstrated that administering bevacizumab 1 day before etoposide and cisplatin (BEEP) can significantly improve antitumor efficacy in cases of breast cancer with BM. Herein, we report the antimetastatic brain tumor efficacy of BEEP in an HER2-positive subpopulation. Materials and Methods: Thirty-five MBC patients with BM were enrolled from January 2011 to January 2013. BEEP was given in 21 day cycles: bevacizumab 15 mg/kg on day 1, etoposide 70 mg/m2/day from days 2 to 4, and cisplatin 70 mg/m2 on day 2. The primary endpoint was composite central nervous system (CNS) volumetric objective response rate (ORR). Anti-HER2 treatments were not permitted during the clinical trial. Results: A total of 23 patients were HER2-positive, 9 ER-positive, and 14 ER-negative. All had been exposed to trastuzumab; 11 (47.8%) had received lapatinib treatment, and 6 (26.1%) of them had received both lapatinib and capecitabine treatment. Of these, 16 patients (69.6%, 95% confidence interval [CI] 47.1–86.8) achieved CNS-ORR, including 7 (30.4%) with ≥80% and 9 (39.1%) with 50%–80% CNS volumetric reduction. A further 5 patients (21.7%) had 20%–50% CNS volumetric reduction. Median CNS-specific progression-free survival and overall survival were 7.4 (95% CI 5.8–9.0) and 11.8 (95% CI 8.7–14.9) months, respectively. Toxicities were tolerated with granulocyte-colony stimulating factor support. Conclusion: The BEEP regimen had a significant antitumor effect in cases of BM of HER2-positive breast cancer that progressed following whole brain radiotherapy.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"10 1","pages":"11 - 18"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44048486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safety and efficacy of everolimus plus exemestane in postmenopausal women with treatment-refractory hormone receptor-positive, human epidermal growth factor receptor 2-negative advanced breast cancer: Analysis from EVEREXES Taiwan subset","authors":"Chiun-Sheng Huang, Yuan-Ching Chang, Kun-Ming Rau, Dar-Ren Chen, Tsu-Yi Chao, Ming-Feng Hou","doi":"10.4103/ejcrp.ejcrp-d-23-00008","DOIUrl":"https://doi.org/10.4103/ejcrp.ejcrp-d-23-00008","url":null,"abstract":"Background: This phase IIIb, open-label study enrolled patients from nine Asian and Middle Eastern countries to evaluate the safety and efficacy of the combination therapy in underrepresented patient populations from the Breast Cancer Trials of Oral Everolimus-2 (BOLERO-2). Here, we report the Taiwanese subset data. Materials and Methods: The primary objective was to evaluate the safety and tolerability of everolimus and exemestane (EVE + EXE); the secondary endpoints included progression-free survival (PFS), response rates, and clinical benefit rate. Postmenopausal patients who had metastatic, recurrent, or locally advanced hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2−) advanced breast cancer (ABC) refractory to nonsteroidal aromatase inhibitor (NSAI) and had received EVE + EXE were recruited. Results: From March 2013 to October 2014, 235 postmenopausal women were enrolled in EVEREXES. Taiwanese patients (n = 22) had similar baseline characteristics compared with BOLERO-2 cohort; most (17/22) had discontinued due to disease progression. Only two patients dropped out due to unacceptable adverse events (AEs) despite worse stomatitis (any 77.3%; grade 3/4, 18.2%). Other common AEs included pneumonitis (45.5%), rash (27.3%), and hyperglycemia (9.1%). PFS and safety in EVEREXES compared favorably with BOLERO-2, especially among Taiwanese patients (median: 49 weeks; 95% confidence interval = 19.3–82.0). Conclusion: Although EVEREXES had a small Taiwanese population, the encouraging outcomes compared with BOLERO-2 showed that EVE + EXE is safe for Taiwanese patients with HR+ HER2− ABC who progressed on NSAIs. Large-scale verification is warranted.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135602426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of wnt ligand secretion mediator signaling in cancer development","authors":"Kai-Ting Chuang, Li-Ting Wang, S. Hsu","doi":"10.4103/ejcrp.ejcrp-d-22-00029","DOIUrl":"https://doi.org/10.4103/ejcrp.ejcrp-d-22-00029","url":null,"abstract":"Objective: The Wnt signaling pathway is among the crucial cascades that regulate development and homeostasis of tissue. Data Sources: Further, it is closely associated with different types of cancer, which includes glioma, breast, colorectal, lung, and prostate cancer, and hepatocellular carcinoma (HCC). The deviant activation or inhibition of Wnt signaling regulates cancer progression, thereby exerting oncogenic or tumorsuppressive effects that control the invasion, metastasis, and metabolism of cancer cell. Study Selection: In the Wnt secretory pathway, lipidmodified Wnt molecules interact with Wnt ligand secretion mediator (WLS), a Wnt cargo receptor. Moreover, they are directed to the plasma membrane and then secreted. Results: Loss of WLS function leads to the accumulation of Wnt in the endoplasmic reticulum (ER), leading to retrograde Golgi–ER transport and ER stress associated with the pathogenesis of several conditions, including early embryonic death, and developmental defects related to lymphopoiesis, neurogenesis, and osteogenesis in adults. Although there is substantial evidence, the regulatory mechanisms through which WLS controls cellular functions are not fully elucidated. Conclusion: Therefore, the current study aimed to identify the underlying mechanism of the effects of WLS on the development of human diseases.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"10 1","pages":"1 - 10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70714628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primary pancreatic hepatoid carcinoma: A case report and literature review","authors":"Hsiang-Fong Kao, Tyng-Wei Yang","doi":"10.4103/ejcrp.ejcrp-d-22-00037","DOIUrl":"https://doi.org/10.4103/ejcrp.ejcrp-d-22-00037","url":null,"abstract":"Hepatoid carcinoma is a rare primary malignancy in the pancreas. We report a case with a long indolent course of primary pancreatic hepatoid carcinoma (PHC) before curative surgery, with an estimated doubling time of 429 days. After surgery, the patient took adjuvant TS-1 (tegafur, gimeracil, and oteracil). They did not have recurrence or metastases 9 months after surgery. We reported their pathological features. We review PHC’s clinical features, pathological diagnosis, and reported treatment experiences.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"275 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135602435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immune-related giant cell myocarditis after immune checkpoint inhibitor therapy in a patient with urothelial carcinoma and myasthenia gravis","authors":"C. Chiu, Jhe-Cyuan Guo","doi":"10.4103/2311-3006.371526","DOIUrl":"https://doi.org/10.4103/2311-3006.371526","url":null,"abstract":"Immune-related adverse events (irAEs) have drawn global attention after the extended use of immune checkpoint inhibitors (ICIs) in the past decade. These inflammatory side effects hinder cancer treatment and potentially have a negative impact on the prognosis. Myocarditis is an infrequent but often life-threatening irAE, and the pathogenesis remains unclear owing to its rarity and fulminant nature. We present a case of immune-related giant cell myocarditis after pembrolizumab treatment for unresectable urothelial carcinoma of the bladder in a patient with underlying invasive thymoma and myasthenia gravis. This unusual presentation highlights the complexity of immune crosstalk in patients with autoimmune diseases who receive ICI therapy. Further, investigations and individualized treatment for this population are warranted to minimize toxicity.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"10 1","pages":"31 - 33"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46081267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pang-Yu Lai, Chien-Yu Ker, Hung-Wei Liu, Yu-Chieh Su
{"title":"Idiopathic multicentric castleman disease following SARS-CoV-2 vaccination","authors":"Pang-Yu Lai, Chien-Yu Ker, Hung-Wei Liu, Yu-Chieh Su","doi":"10.4103/ejcrp.ejcrp-d-22-00035","DOIUrl":"https://doi.org/10.4103/ejcrp.ejcrp-d-22-00035","url":null,"abstract":"Idiopathic multicentric Castleman disease (iMCD) is a rare lymphoproliferative disorder. The preferred primary treatment for iMCD is siltuximab, an anti-interleukin-6 antibody (anti–IL-6). Chemotherapy is reserved for severe cases or when anti-IL-6 is unavailable. The increased IL-6 signaling in iMCD, increase in IL-6 after mRNA vaccines, and hyperactivation of IL-6 as a critical mediator in COVID-19 infection demonstrate a shared mechanism underlying inflammatory cytokine dysregulation. Herein, we present a case of iMCD after receiving a SARS-CoV-2 vaccination who was treated with traditional chemotherapy over the preferred siltuximab.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135602431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Frontline autologous stem cell transplantation in POEMS syndrome with pulmonary arterial hypertension","authors":"Polev Li, Hsin-Chen Lin","doi":"10.4103/ejcrp.ejcrp-d-22-00022","DOIUrl":"https://doi.org/10.4103/ejcrp.ejcrp-d-22-00022","url":null,"abstract":"Polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin change (POEMS) syndrome is a rare para-neoplastic syndrome related to plasma cell disorder. Pulmonary arterial hypertension (PAH) is a cardiovascular comorbidity caused by underlying plasma cell disorder. Targeted therapy aimed at plasma cells may be more beneficial than treating POEMS syndrome with conventional PAH therapy. We present the case of a 47-year-old woman who was diagnosed with POEMS syndrome complicated with PAH and treated with myeloma-like therapy followed by autologous stem cell transplantation (ASCT). This case highlights that targeted therapy against plasma cells and frontline ASCT may be beneficial with regards to the clinical outcomes.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"10 1","pages":"34 - 37"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49083547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Middle ear metastases as the initial presentation of breast cancer progression","authors":"Wei-Pang Chung, Tzu-Chien Lin, Ya-Chun Hsu, Hui-Wen Chen","doi":"10.4103/ejcrp.ejcrp-d-23-00009","DOIUrl":"https://doi.org/10.4103/ejcrp.ejcrp-d-23-00009","url":null,"abstract":"Breast cancer (BC) is the most prevalent malignancy in women, and most of their deaths from BC are caused by metastases. The bone, liver, lungs, and skin are the most frequently involved organs in metastases. We report a rare case of middle ear metastasis from BC in a 67-year-old woman. The patient had a curative modified radical mastectomy for her right BC 24 years ago and was treated with letrozole as a first-line therapy for the recurrent disease since 2016. After more than 5.5 years of treatment, computed tomography revealed otitis media with mastoiditis, and a granular tumor was found in the attic space and mesotympanum during the operation with the initial symptom of decreased left ear hearing. The mass was incompletely removed, and a biopsy eventually confirmed metastatic BC. There are very few case reports in the literature. Our case highlights the importance of surgical biopsy in differentiating middle ear neoplastic lesions.","PeriodicalId":31219,"journal":{"name":"Journal of Cancer Research and Practice","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135602402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}