Gaja Cvejić Vidali , Tereza Urdih , Gregor Brecl Jakob , Sandra Šućurović , Matjaž Sever
{"title":"Pirtobrutinib for relapsed Bing–Neel syndrome following long-term covalent BTK inhibitor therapy: A case report","authors":"Gaja Cvejić Vidali , Tereza Urdih , Gregor Brecl Jakob , Sandra Šućurović , Matjaž Sever","doi":"10.1016/j.cpccr.2026.100428","DOIUrl":"10.1016/j.cpccr.2026.100428","url":null,"abstract":"<div><h3>Background</h3><div>Bing–Neel syndrome (BNS) is a rare neurological complication of lymphoplasmacytic lymphoma/Waldenström macroglobulinemia (WM), characterized by central nervous system (CNS) infiltration by malignant lymphoplasmacytic cells. Treatment guidelines are limited, and data on management after relapse on covalent Bruton tyrosine kinase inhibitors (BTKi) are scarce.</div></div><div><h3>Case presentation</h3><div>We report the case of a 76-year-old woman with WM who developed BNS and achieved prolonged neurological response with ibrutinib. After 50 months of therapy, she experienced CNS relapse. Treatment with the non-covalent BTKi pirtobrutinib led to rapid clinical improvement and maintained hematological response.</div></div><div><h3>Conclusion</h3><div>This case supports the potential efficacy of pirtobrutinib as salvage therapy for relapsed BNS after covalent BTKi exposure and adds to the limited real-world evidence in this rare clinical entity.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"22 ","pages":"Article 100428"},"PeriodicalIF":0.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177781","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}
Yoshihiro Ikehata , Masayoshi Nagata , Takuro Kobayashi , Yuki Nagashima , Naoya Nagaya , Yan Lu , Shigeo Horie
{"title":"T-cell receptor repertoire analysis in a patient with metastatic renal cell carcinoma with sarcomatoid change successfully treated with nivolumab–ipilimumab combination therapy followed by deferred cytoreductive nephrectomy","authors":"Yoshihiro Ikehata , Masayoshi Nagata , Takuro Kobayashi , Yuki Nagashima , Naoya Nagaya , Yan Lu , Shigeo Horie","doi":"10.1016/j.cpccr.2026.100427","DOIUrl":"10.1016/j.cpccr.2026.100427","url":null,"abstract":"<div><div>Treatment of advanced renal cell carcinoma has improved with immune checkpoint inhibitors; however, the role of deferred cytoreductive nephrectomy and biomarkers for immune-related adverse events remains unclear. We report a man in his seventies with metastatic renal cell carcinoma with sarcomatoid change treated with nivolumab plus ipilimumab followed by deferred cytoreductive nephrectomy. Despite grade 3 adrenal insufficiency, a durable complete response was maintained with nivolumab monotherapy. T-cell receptor repertoire analysis revealed decreased diversity and increased clonality after treatment, suggesting its potential as a biomarker of therapeutic response and immune-related toxicity.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"22 ","pages":"Article 100427"},"PeriodicalIF":0.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178537","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 pulmonary yolk sac tumor: A case report","authors":"Atif Saleem Siddiqui","doi":"10.1016/j.cpccr.2026.100405","DOIUrl":"10.1016/j.cpccr.2026.100405","url":null,"abstract":"<div><div>A primary yolk sac tumor of the lung is an extremely rare type of extragonadal germ cell tumor that originates in the lung parenchyma. We report a case of a large pulmonary yolk sac tumor in the right lower lobe with brain metastasis, treated with chemotherapy. Common symptoms of pulmonary yolk sac tumors include cough, chest pain, and shortness of breath. Risk factors for developing primary yolk sac tumors of the lung are not well defined. Elevated alpha-fetoprotein (AFP) levels are a characteristic finding in these tumors and can aid in both diagnosis and monitoring treatment response. Primary yolk sac tumor is an aggressive malignancy. Comprehensive treatment typically involves a combination of neoadjuvant chemotherapy, complete surgical resection, and postoperative chemotherapy, along with careful monitoring of AFP levels and management of complications to optimize outcomes.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"21 ","pages":"Article 100405"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979617","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":"Treatment of inoperable painful recurrent basal cell carcinoma by a novel approach","authors":"Abolfazl Zanghaei , Ehsan Soltani , Mahdi Razmara , Seyedmajid Mousavijavardi , Daryoush Hamidi Alamdari","doi":"10.1016/j.cpccr.2026.100403","DOIUrl":"10.1016/j.cpccr.2026.100403","url":null,"abstract":"<div><div>Basal cell carcinoma (BCC) is the most common skin cancer. In this study, a novel topical approach using formulated methylene blue gel and repairing gel was applied to treat two painful recurrent ulcerative BCCs and one nodular BCC in one diabetic/dialysis 78-year-old patient, who was contraindicated for further surgery due to the patient’s performance status and comorbidities. External radiation therapy was not feasible because the tumors were located at multiple sites, which made it difficult to treat all lesions. Both the recurrent ulcerative BCCs and the nodular BCC healed completely after 75 and 24 days, respectively. No recurrence was observed after one year of follow-up. This approach is a non-invasive and safe method, and further research is needed to substantiate its efficacy.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"21 ","pages":"Article 100403"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078577","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":"Panitumumab-induced trichomegaly in a patient with metastatic colorectal cancer: Case report and systematic literature review","authors":"Enes Erul , Erman Akkus , Fatih Koksal , Abdulhakim Konukman , Arzu Yasar","doi":"10.1016/j.cpccr.2025.100402","DOIUrl":"10.1016/j.cpccr.2025.100402","url":null,"abstract":"<div><h3>Introduction</h3><div>The advent of targeted therapies, such as panitumumab, has significantly improved treatment outcomes for metastatic colorectal cancer (mCRC). However, these therapies can also induce unique side effects, including trichomegaly, characterized by the abnormal thickening, lengthening, and curling of eyelashes.</div></div><div><h3>Case Report Management & Outcome</h3><div>We report the case of a 67-year-old male with metastatic colorectal cancer who developed trichomegaly following treatment with panitumumab. The patient was initially treated with FOLFOX (fluorouracil, leucovorin, and oxaliplatin) and bevacizumab, but received panitumumab after disease progression. Two months after starting panitumumab therapy, the patient exhibited significant elongation and curling of the eyelashes. Despite the discontinuation of panitumumab due to disease progression, the trichomegaly persisted.</div></div><div><h3>Discussion</h3><div>Panitumumab-induced trichomegaly, while not requiring discontinuation of treatment, can be persistent and may cause discomfort. Awareness and management of this side effect are essential, especially considering its potential impact on patients' quality of life. Future studies are needed to better understand the mechanisms and long-term implications of panitumumab-associated trichomegaly.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"21 ","pages":"Article 100402"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979618","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":"Distal femoral central venous catheterization in a semi-sitting position for a patient with lung cancer and superior vena cava syndrome: A case report","authors":"Yuji Inagaki , Tomoko Kagawa , Yasushi Inoue , Takashi Nishihara , Takafumi Iguchi , Yoshihiko Taniguchi , Akihiro Tamiya , Kyoichi Okishio","doi":"10.1016/j.cpccr.2026.100410","DOIUrl":"10.1016/j.cpccr.2026.100410","url":null,"abstract":"<div><div>Superior vena cava (SVC) syndrome is an oncological emergency characterized by venous obstruction, most commonly due to malignancy, that leads to facial and upper extremity edema and dyspnea that worsen in the supine position. A 70-year-old man with SVC syndrome secondary to lung adenocarcinoma presented with severe orthopnea, generalized edema, and inability to tolerate the supine position. Because the peripheral and inguinal venous accesses were not feasible, distal femoral central venous catheterization (CVC) was performed under ultrasound guidance in a semi-sitting position, without complications. This facilitated the prompt initiation of chemotherapy, which stabilized the patient’s condition. This case demonstrates that in oncological emergencies, semi-sitting distal femoral CVC is a safe and practical alternative for patients with SVC obstruction who cannot tolerate the supine position.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"21 ","pages":"Article 100410"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147397743","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":"A case report of primary malignant melanoma of the cervix","authors":"Ya Liu , Demei Ma , Ping Zhang , Yongxia Yang","doi":"10.1016/j.cpccr.2026.100412","DOIUrl":"10.1016/j.cpccr.2026.100412","url":null,"abstract":"<div><div>Primary malignant melanoma of the cervix is an extremely rare malignant tumor, accounting for <0.5 % of all cervical malignancies. This article reports a case of a 66-year-old female patient who presented with \"vaginal bleeding\" and was diagnosed with primary malignant melanoma of the cervix via colposcopic biopsy and immunohistochemistry. The patient received dacarbazine chemotherapy. Through a systematic review of previous literature, this paper summarizes the clinicopathological features, diagnostic criteria, treatment strategies, and prognostic factors of this disease.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"21 ","pages":"Article 100412"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147397745","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":"Unexpected source of massive GI bleed: metastatic renal cell carcinoma and widespread thrombosis – a case report","authors":"Abdulmajeed Albarrak","doi":"10.1016/j.cpccr.2025.100401","DOIUrl":"10.1016/j.cpccr.2025.100401","url":null,"abstract":"<div><div>Introduction: Upper gastrointestinal bleeding (UGIB) is a potentially life-threatening condition that most commonly arises from peptic ulcers, esophageal varices due to portal hypertension, or mucosal erosions. Variceal bleeding in the absence of liver disease is uncommon and warrants thorough investigation.</div><div>Case Presentation: This case report presents a 56-year-old male who experienced his first episode of hematemesis and melena. Endoscopic evaluation revealed a high-risk bleeding fundal varix, despite no clinical or laboratory evidence of chronic liver disease. Abdominal ultrasound revealed a large left renal mass consistent with renal cell carcinoma, with extensive vascular thromboses involving the portal vein, inferior vena cava, and splenic vein, leading to localized portal hypertension and variceal formation. Despite planned diagnostic and therapeutic interventions, the patient suffered a fatal pulmonary embolism. This case underscores the importance of considering malignancy-related vascular complications in non-cirrhotic variceal bleeding.</div><div>Conclusion: The presentation of UGIB due to isolated gastric varices in a non-cirrhotic patient should prompt evaluation for underlying malignancies, including renal cell carcinoma (RCC). The aggressive vascular invasion characteristic of RCC can lead to significant complications, including portal hypertension and thromboembolic events. Early diagnosis and management are essential to improve patient outcomes.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"21 ","pages":"Article 100401"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898085","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}
Christopher S. Hanna, Shea-Lee Godin, Jacob Jones, Yueming Chang, Nathaniel Robinson
{"title":"A case of STRN-ALK fusion positive lung adenocarcinoma treated with lorlatinib monotherapy","authors":"Christopher S. Hanna, Shea-Lee Godin, Jacob Jones, Yueming Chang, Nathaniel Robinson","doi":"10.1016/j.cpccr.2026.100411","DOIUrl":"10.1016/j.cpccr.2026.100411","url":null,"abstract":"<div><div>Anaplastic lymphoma kinase (ALK) rearrangements occur in 3-5% of non-small cell lung cancer (NSCLC), with the STRN-ALK fusion representing a rare variant with variable responses to ALK tyrosine kinase inhibitors (TKIs). Lorlatinib, a third-generation ALK TKI with broad activity against resistance mutations and superior CNS penetration, has not been previously reported in STRN-ALK fusion-positive NSCLC. We present a 52-year-old male never-smoker who initially complained of back pain and was found to have multiple thoracic lesions on a CT scan of the chest, pleural nodules and a pleural effusion, which was found to be consistent with exudative effusion and adenocarcinoma on cytology. He was diagnosed with stage IV lung adenocarcinoma with signet-ring cell features. Next-generation sequencing of tissue identified a STRN-ALK fusion along with pathogenic ARID1A and KMT2D mutations. The patient was initiated on lorlatinib 100 mg daily as first-line therapy. Treatment was complicated by manageable adverse events, including hyperlipidemia, peripheral neuropathy, first-degree AV block, and lower extremity edema. At nine-month follow-up, PET-CT demonstrated a partial response with resolution of bone metastases and a significant reduction in thoracic lesions. This represents the first reported case of STRN-ALK fusion-positive NSCLC treated with lorlatinib monotherapy, demonstrating the clinical efficacy and tolerability of third-generation ALK inhibition for this rare fusion variant, which has variable responses to earlier-generation TKIs in the literature. These findings support lorlatinib as an effective treatment option for STRN-ALK NSCLC, particularly given its superior CNS penetration, which is particularly relevant for preventing or treating brain metastases in patients with previously identified brain metastases.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"21 ","pages":"Article 100411"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147397746","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":"Acquired hemophilia A caused by colon cancer that resulted in early death after onset:A case report","authors":"Makoto Saito , Masahiro Ieko , Shinpei Harada , Emi Yokoyama , Minoru Kanaya , Koh Izumiyama , Akio Mori , Masanobu Morioka , Takeshi Kondo","doi":"10.1016/j.cpccr.2026.100409","DOIUrl":"10.1016/j.cpccr.2026.100409","url":null,"abstract":"<div><h3>Introduction</h3><div>Acquired hemophilia A (AHA) is a rare autoimmune bleeding disorder that can cause severe hemorrhage in elderly patients. Solid tumors are considered one of the causes of this condition, and we report a case of AHA caused by colon cancer that led to death due to severe bleeding shortly after treatment intervention.</div></div><div><h3>Case Presentation</h3><div>An 89-year-old, elderly male patient presented with significant subcutaneous hemorrhage and recurrent bloody stool. Colonoscopy revealed sigmoid colon cancer, and CT scans suggested metastatic lung cancer. Because the factor VIII inhibitor titer was high at approximately 100 BU/mL, prednisolone and cyclophosphamide were administered immediately after the diagnosis of AHA. While the inhibitor titer subsequently began to decrease, but the factor VIII activity level remained in the 1 % range and did not increase, so the patient's tendency to bleed became more pronounced; the bypassing hemostatic agent, a mixture of factors VIIa and X (Byclot®), was also administered. Despite being administered twice, hemostatic control was insufficient, and bleeding persisted intermittently. Furthermore, respiratory failure due to pulmonary emphysema rapidly worsened, and the patient died approximately 2 weeks after treatment intervention.</div></div><div><h3>Conclusion</h3><div>In all three cases treated at our facility, including this patient, AHA develops after the cancer has progressed, making patients difficult to treat and resulting in a poor prognosis. In the future, it will be necessary to investigate a larger number of AHA patients with underlying solid tumors and consider the optimal treatment for each case.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"21 ","pages":"Article 100409"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189485","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}