Current problems in cancer. Case reports最新文献

{"title":"Refractory IgM AL amyloidosis with massive soft tissue tumors: Rescue with zanubrutinib. A case report","authors":"Piotr Jachimowski ,&nbsp;Łukasz Ciulkiewicz ,&nbsp;Mateusz Ziarkiewicz ,&nbsp;Bogna Ziarkiewicz-Wróblewska ,&nbsp;Marta Legatowicz-Koprowska ,&nbsp;Krzysztof Jamroziak","doi":"10.1016/j.cpccr.2024.100325","DOIUrl":"10.1016/j.cpccr.2024.100325","url":null,"abstract":"<div><div>Waldenström macroglobulinemia (WM) is a rare indolent B-cell non-Hodgkin lymphoma with lymphoplasmacytic morphology, associated with immunoglobulin M (IgM) monoclonal gammopathy. The coexistence of WM and immunoglobulin light chain (AL) amyloidosis is an uncommon but well-described phenomenon. In patients suffering from IgM AL amyloidosis soft tissue involvement and neuropathy are more prevalent in comparison to non-IgM patients. We present a case of 82-year old female with WM and intercurrent IgM AL amyloidosis, presenting with massive amyloidomas of both lower extremities, without significant cardiac and renal involvement. The patient was refractory to several lines of treatment and finally started on zanubrutinib monotherapy, with rapid and sustained very good partial hematologic response (VGPR) and clinical improvement.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"16 ","pages":"Article 100325"},"PeriodicalIF":0.2,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unusual presentation of melena due to duodenal metastasis from primary lung adenocarcinoma","authors":"Gülden Bilican ,&nbsp;Serkan Dumanlı ,&nbsp;Ercan Yıldırım ,&nbsp;Ali Karataş ,&nbsp;Ayşenur Sert ,&nbsp;Ozan Yazıcı","doi":"10.1016/j.cpccr.2024.100326","DOIUrl":"10.1016/j.cpccr.2024.100326","url":null,"abstract":"<div><div>We present a rare case of duodenal metastasis from primary lung adenocarcinoma, emphasizing the diagnostic challenges and treatment considerations associated with this uncommon metastatic presentation. Through this case report, we aim to enhance awareness of this clinical entity and highlight the importance of multidisciplinary collaboration in its management.</div></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"16 ","pages":"Article 100326"},"PeriodicalIF":0.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Definitive chemoradiotherapy with Carboplatin Plus Paclitaxel for Unresectable Locally Advanced Thymic Carcinoma: A case series","authors":"Koichiro Nozaki,&nbsp;Satoshi Watanabe,&nbsp;Ryo Yamazaki,&nbsp;Masashi Arita,&nbsp;Toshiaki Kikuchi","doi":"10.1016/j.cpccr.2024.100323","DOIUrl":"10.1016/j.cpccr.2024.100323","url":null,"abstract":"<div><h3>Objectives</h3><p>Thymic carcinoma (TC) is rare. There is no evidence regarding the treatment strategies for unresectable locally advanced thymic carcinomas. Definitive chemoradiotherapy may treat this condition. However, an appropriate concurrent chemotherapy with radiotherapy has not yet been established.</p></div><div><h3>Materials and methods</h3><p>We present three cases of locally advanced thymic carcinoma treated with definitive chemoradiotherapy using carboplatin and paclitaxel.</p></div><div><h3>Results</h3><p>Three patients aged 74–81 with Masaoka stage III thymic carcinoma were included. One patient was a woman, and two patients were men. All patients received weekly carboplatin (area under the curve, 2) plus paclitaxel (40 mg m^-12) and concurrent radiotherapy (60 Gy). One patient experienced an adverse event of grade 3 radiation pneumonitis after chemoradiotherapy, but the three patients completed chemoradiotherapy with minor adverse events during treatment. Progression-free survival after chemoradiotherapy was 59+, 24+, and 16+ months, respectively; all patients were alive.</p></div><div><h3>Conclusion</h3><p>Definitive concurrent chemoradiotherapy with weekly carboplatin plus paclitaxel may be effective for treating unresectable locally advanced thymic carcinomas.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"16 ","pages":"Article 100323"},"PeriodicalIF":0.2,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000462/pdfft?md5=fa9d2b295942b0387d1f7cb0dacef82f&pid=1-s2.0-S2666621924000462-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142272642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of anamorelin hydrochloride in a patient with lung cancer-related cachexia undergoing chemoradiotherapy: A case report","authors":"Haruka Fujioka ,&nbsp;Kei Nakashima ,&nbsp;Nana Munakata ,&nbsp;Shigenori Yamamoto ,&nbsp;Reina Idemitsu ,&nbsp;Taiki Kawai ,&nbsp;Kentaro Tochigi ,&nbsp;Yasuhiro Morimoto ,&nbsp;Hiroyuki Ito ,&nbsp;Ayumu Otsuki","doi":"10.1016/j.cpccr.2024.100322","DOIUrl":"10.1016/j.cpccr.2024.100322","url":null,"abstract":"<div><p>This report describes the case of a 59-year-old man with poorly differentiated lung adenocarcinoma and cachexia who completed chemoradiation therapy for stage III lung cancer following the administration of anamorelin. Anamorelin, a ghrelin receptor agonist, effectively improved his appetite and performance status, thereby enabling the continuation of treatment. The role of anamorelin in enhancing appetite during acute-phase treatment is promising; however, further studies must be conducted to elucidate its interaction with chemoradiation therapy. This case report highlights the potential of anamorelin as a therapeutic option for the management of cancer-related cachexia during curative treatment for lung cancer.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"16 ","pages":"Article 100322"},"PeriodicalIF":0.2,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000450/pdfft?md5=863f25a88439439e21d5e29ef2a90d24&pid=1-s2.0-S2666621924000450-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142272641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stauffer syndrome in a tumor of the pancreatic tail: A paracrine pathogenesis, rather than an inflammatory disimmune phenomenon – a case report","authors":"Caterina Porciani ,&nbsp;Piero Colombatto ,&nbsp;Simone Guadagni ,&nbsp;Gabriele Ricco ,&nbsp;Luca Morelli ,&nbsp;Laura Caponi ,&nbsp;Daniela Campani ,&nbsp;Annalisa Comandatore ,&nbsp;Giusi Desire' Sciume' ,&nbsp;Paola Migliorini ,&nbsp;Piero Boraschi ,&nbsp;Maurizia Brunetto ,&nbsp;Giulio Di Candio","doi":"10.1016/j.cpccr.2024.100320","DOIUrl":"10.1016/j.cpccr.2024.100320","url":null,"abstract":"<div><p>Stauffer syndrome, also known as paraneoplastic intrahepatic cholestasis syndrome, is a rare reversible clinical manifestation characterized by elevation of direct bilirubin, alcaline phosphatase, transaminases and prolonged prothrombin time, without direct hepatobiliary disease, that is due to the presence of malignancy, mostly kidney cancer. In this case report, we describe a rare form of mixed acinar neuroendocrine pancreatic tail mass causing a non-obstructive form of cholestasis. We analysed the effects of metilprednisolone treatment and surgery on the levels of interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF alpha), previously associated with this syndrome. We found that serum levels of IL-6 and TNF alpha decreased during steroid treatment, had a peak immediately after the surgical procedure, and remained stable while cholestasis resolved slowly after tumour removal. These findings showed that IL-6 and TNF alpha were not the effectors of the paraneoplastic cholestasis in our patient. Rather, the evidence of a mixed acinar neuroendocrine pancreatic tumour and non-specific cholestasis at the liver histology suggests paracrine mechanisms affecting cellular transporters implicated in bile acids excretion.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"15 ","pages":"Article 100320"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000437/pdfft?md5=abb1c6a23eb67343a69b75ff773faa98&pid=1-s2.0-S2666621924000437-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142136275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case report: Heterogeneity in the primary lesions of invasive micropapillary breast carcinoma","authors":"Yang Fu ,&nbsp;Junwei Cui ,&nbsp;Jinming Zhou ,&nbsp;Fang Li ,&nbsp;Jinsong He ,&nbsp;Zijian Yang","doi":"10.1016/j.cpccr.2024.100321","DOIUrl":"10.1016/j.cpccr.2024.100321","url":null,"abstract":"<div><p>Breast cancer (BC) is a complex and heterogeneous disease including different biological subtypes. This results in molecular and phenotypic heterogeneity within the BC. Stratification of tumors contributed to achieving better outcome in terms of response to therapy and overall survival. Little is known about the features of clonal heterogeneity in different lesion in BC patient. We reported a case of a 52-year-old woman who was diagnosed with luminal B (HER2−) BC and accepted chemotherapy. She achieved partial response based on RECIST 1.1 criteria. However, progressive disease (PD) was then identified with multiple subtypes including luminal B and triple-negative breast cancer (TNBC). Next-generation sequencing (NGS) technologies showed that the different regions of diseased tissue were originated from same clonal genes. We also demonstrated the clonal heterogeneity and gene characterization between lesions of luminal B and TNBC. The patient archived complete remission (CR) with a clear beneficial outcome from immunotherapy treatment. In addition, tumour mutational burden (TMB) and DNA damage repair (DDR) pathway were considered as potential biomarkers for better prediction of tumor immunotherapy efficacy.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"16 ","pages":"Article 100321"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000449/pdfft?md5=1b67e5f28be621e38928eedac89505fc&pid=1-s2.0-S2666621924000449-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-flow nasal cannula combined with intravenous general anesthesia for stent implantation in right lung cancer: A case report","authors":"Hai-Yu Xie ,&nbsp;Yi Li ,&nbsp;Jiao Mo ,&nbsp;Zhi-Yong Wu ,&nbsp;Zhi-Min Hu ,&nbsp;Wei-Dong Liang ,&nbsp;Li-Feng Wang","doi":"10.1016/j.cpccr.2024.100319","DOIUrl":"10.1016/j.cpccr.2024.100319","url":null,"abstract":"<div><p>Airway blockage frequently occurs in advanced lung cancer patients, leading to breathing difficulties and oxygen deprivation. This severely impacts patients' quality of life and can even result in death. Bronchial stent insertion effectively alleviates these symptoms and is often performed with intravenous general anesthesia. Nevertheless, during anesthesia and the procedure, inadequate ventilation can lead to severe oxygen deficiency and subsequent complications. There is an urgent need for a safe and efficient intraoperative ventilation strategy to maintain sufficient oxygen levels and reduce the risk of oxygen deficiency. We present a case of successful bronchial stent placement using high-flow nasal cannula (HFNC) in conjunction with intravenous general anesthesia. The patient, a 64-year-old male with a one-year history of right peripheral lung cancer, sought treatment for persistent cough and breathing difficulties. Chest X-rays upon admission revealed a substantial increase in the size of the anterior segment of the right upper lung lobe, likely due to peripheral lung cancer complicated by obstructive pneumonia. To address the patient's airway compression symptoms, we proposed \"bronchoscopic tracheal stent insertion.\" The patient exhibited an ejection fraction of 45% on cardiac ultrasound, had limited physical activity tolerance, grade III heart function, severe airway constriction, and maintained oxygen saturation (SPO₂) levels between 85% and 88%. We successfully performed the procedure using HFNC in combination with intravenous general anesthesia, resulting in a significant improvement in airway compression symptoms. In this case, it was found that HFNC could be used as a new non-invasive respiratory support therapy for bronchial stent implantation under intravenous general anesthesia to reduce the occurrence of intraoperative hypoxemia.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"15 ","pages":"Article 100319"},"PeriodicalIF":0.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000425/pdfft?md5=7d6234bff30fbabb67ea1b8c3511111e&pid=1-s2.0-S2666621924000425-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141998328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cutaneous toxicity following intra-arterial chemotherapy with melphalan for uveal melanoma: A case report","authors":"Arthur Sampaio Zupelli ,&nbsp;Victor C.F. Bellanda ,&nbsp;Daniel G. Abud ,&nbsp;Gabriela M. Carvalho ,&nbsp;Luiz Augusto F.M. Garbers ,&nbsp;Fernanda M. Peria ,&nbsp;Rodrigo Jorge","doi":"10.1016/j.cpccr.2024.100318","DOIUrl":"10.1016/j.cpccr.2024.100318","url":null,"abstract":"<div><h3>Background</h3><p>This case report aims to describe an adverse reaction following intra-arterial melphalan chemotherapy in a 48-year-old female patient with choroidal melanoma. The chemotherapy was part of a phase I clinical trial (MELCOM Study - ClinicalTrials.gov ID: NCT05893654), designed to evaluate its efficacy as a bridge to Ru-106 brachytherapy for treating large uveal melanomas. This is the first reported case of a cutaneous reaction to melphalan in an adult patient.</p></div><div><h3>Observations</h3><p>Upon administration of melphalan, the patient developed an erythematous periorbital skin lesion three days post-treatment. The lesion evolved into a hyperchromic brownish macule that later disappeared spontaneously.</p></div><div><h3>Conclusions and Importance</h3><p>While melphalan successfully reduced the tumor dimensions, making the patient eligible for subsequent Ru-106 brachytherapy, it led to a cutaneous reaction previously reported only in pediatric patients. Despite this aesthetic complication, the therapy was effective in tumor reduction, highlighting the need for further studies to assess the risk-benefit profile of intra-arterial melphalan chemotherapy in adult populations.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"15 ","pages":"Article 100318"},"PeriodicalIF":0.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000413/pdfft?md5=c96c3df08b57baf46f2ebade3beca62b&pid=1-s2.0-S2666621924000413-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141952539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disrupted care for multiple myeloma in an amenorrheic woman due to a false-positive pregnancy test: A case report","authors":"Kaley Parchinski ,&nbsp;Kyra Urquhart-Foster ,&nbsp;Stephen Aaron Purser ,&nbsp;Charles Bodine","doi":"10.1016/j.cpccr.2024.100316","DOIUrl":"10.1016/j.cpccr.2024.100316","url":null,"abstract":"<div><p>We report the case of a 48-year-old female with a history of tubal ligation who presented to her PCP with altered mental status and back pain. Inpatient workup revealed multiple myeloma, and treatment with bortezomib and dexamethasone was initiated. Due to teratogenicity on lenalidomide, a pre-treatment urine pregnancy test was performed and returned positive. She denied sexual activity and had no history of germ cell tumor. While urine hCG remained low positive for three tests, her serum hCG remained normal (&lt;5 mIU/mL). The uncertainty in pregnancy testing caused a delay in full-dose induction therapy. With two cycles of bortezomib and dexamethasone, her M-Spike only dropped from 4.8 to 2.9 g/dL. Ultimately urine hCG normalized, and she was started on lenalidomide with cycle number three. With the addition of lenalidomide, after two cycles, her M-Spike disappeared, and bone marrow biopsy showed complete resolution of plasma cell dyscrasia. The phenomenon of positive hCG testing in multiple myeloma is discussed, highlighting the importance of provider and patient awareness in the setting of a non-gravid woman to prevent a disruption of standard of care treatment and patient distress.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"15 ","pages":"Article 100316"},"PeriodicalIF":0.2,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000395/pdfft?md5=58903e12d97434ddec5c0757131a70e9&pid=1-s2.0-S2666621924000395-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges in managing extensive brown tumors and renal stones in a young man with parathyroid carcinoma and single kidney: Case report","authors":"Syeda Sara Tajammul ,&nbsp;Syed Furqan Hashmi ,&nbsp;Zamzam Al Hashami ,&nbsp;Laila Al Masaoudi ,&nbsp;Sharjeel Usmani ,&nbsp;Asma Naz Nadaf ,&nbsp;Layth Mula-Hussain","doi":"10.1016/j.cpccr.2024.100317","DOIUrl":"10.1016/j.cpccr.2024.100317","url":null,"abstract":"<div><p>Parathyroid carcinoma is one of the rare causes of primary hyperparathyroidism, comprising less than 1 % of its cases. Diagnosing parathyroid carcinoma typically requires a comprehensive evaluation using clinical, histological, and radiological methods. Primary hyperparathyroidism secondary to parathyroid carcinoma often presents with hypercalcemia, bone abnormalities, and renal stones. Brown tumours, a rare and late manifestation of hyperparathyroidism, signify the final stage in bone remodelling, and they can be easily mistaken for bony metastases, which highlights the importance of distinguishing between them to ensure appropriate management and avoid unnecessary treatment. Due to the rarity of parathyroid carcinoma, there is currently no standardized staging system or specific guidelines for its management. Consequently, the involvement of a multidisciplinary team has become crucial in addressing this disease. Surgery is considered the primary treatment approach, while the role of adjuvant radiotherapy and chemotherapy remains controversial. With ongoing research, the treatment landscape for parathyroid carcinoma may evolve, offering new hope for improved outcomes and quality of life for affected individuals.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"15 ","pages":"Article 100317"},"PeriodicalIF":0.2,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000401/pdfft?md5=1cafb0bcb3d935da3042c1c835ac3d90&pid=1-s2.0-S2666621924000401-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}