Current problems in cancer. Case reports最新文献

{"title":"Erratum regarding missing statements in previously published articles","authors":"","doi":"10.1016/j.cpccr.2023.100264","DOIUrl":"https://doi.org/10.1016/j.cpccr.2023.100264","url":null,"abstract":"","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100264"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621923000480/pdfft?md5=5f66b2e80a1012a73ed52c0b85690ec1&pid=1-s2.0-S2666621923000480-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141323510","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":"Lamber-Eaton myasthenic syndrome associated with multiple myeloma: A case report","authors":"Sebastian S Casillas-Berumen ,&nbsp;Ahsan Salik ,&nbsp;Alex Yu ,&nbsp;Mageda Al Areqi ,&nbsp;Ayesha Ali ,&nbsp;Resham Mirza ,&nbsp;Shaan Chaudhri ,&nbsp;Gurpreet Lamba","doi":"10.1016/j.cpccr.2024.100299","DOIUrl":"10.1016/j.cpccr.2024.100299","url":null,"abstract":"<div><h3>Background</h3><p>Lambert-Eaton myasthenic syndrome (LEMS) is an uncommon illness of the neuromuscular junction. It typically manifests as a combination of proximal muscular weakness, autonomic dysfunction, and areflexia. It is typically associated with small cell lung cancer. However, this paraneoplastic syndrome has been discovered in other clinical entities, such as multiple myeloma, which is a rare and infrequent occurrence.</p></div><div><h3>Case presentation</h3><p>We report the case of 54-year-old female with history of tobacco usage, who presented with generalized weakness. The patient underwent multiple tests, including blood work up, electromyography, and imaging. The laboratory results yielded high protein levels and anemia, which prompted clinicians to pursue SPEP work up that yielded an elevated M spike, establishing MGUS diagnosis. Neurology evaluation was done in the setting of worsening symptoms. Antibody testing was positive for voltage-gated calcium channels, establishing diagnosis for Lambert-Eaton Myasthenic Syndrome. She underwent prednisone, pyridostigmine and amifampridine treatment noticing symptom improvement. Months later lab work showed unchanged M spike, and bone marrow biopsy showed 10 % IgA plasma cells, establishing Multiple Myeloma. She was started on daratumumab, decadron, lenalidomide and later on stem cell transplantation with success.</p></div><div><h3>Conclusions</h3><p>Coexistence of LEMS with multiple myeloma is a clinical entity with few published occurrences, providing diagnostic and therapy challenges due to the limited knowledge known about the potential link between the two.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100299"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266662192400022X/pdfft?md5=3ac70d4ec9a01085d5ea2e75f482554d&pid=1-s2.0-S266662192400022X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276938","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":"Diagnosis, investigation, and treatment of occult breast cancer: A case report and systematic review of the literature","authors":"Nora Trabulsi ,&nbsp;Sarah Almaghrabi ,&nbsp;Basma Bamakhrama ,&nbsp;Zahir Fadel ,&nbsp;Alaa Shabkah ,&nbsp;Ali Farsi ,&nbsp;Basim Awan","doi":"10.1016/j.cpccr.2024.100296","DOIUrl":"https://doi.org/10.1016/j.cpccr.2024.100296","url":null,"abstract":"<div><h3>Background</h3><p>Occult breast cancer (OBC) is an uncommon diagnosis that rarely causes skin metastasis. Our aim herein was to report a case of OBC with cutaneous metastasis and to systematically review the current evidence on the investigation, diagnosis, and treatment of such cases.</p></div><div><h3>Methods</h3><p>We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A comprehensive search was conducted on MEDLINE, Embase, Cochrane Library, and Google Scholar. We included studies in English published from inception to August 2022 that included male or female patients who presented with OBC metastasis to the skin and that reported clinical outcomes of interest.</p></div><div><h3>Results</h3><p>We identified 854 articles, 13 of which were included in our review. The articles were case reports published between 2009 and 2022 and included 13 patients. The commonest site for skin lesions was the chest (<em>n</em> = 7), followed by the axilla (<em>n</em> = 5), of which 2 were bilateral. The skin lesions were nodular in 5 cases, macular in 2 cases, urticarial in 2 cases, papular in 1 case, and ulcerating in 2 cases. Skin metastasis was positive for estrogen receptor in 8 cases, progesterone receptor in 7 cases, cytokeratin 7 in 6 cases, and GATA binding protein 3 in 5 cases. Medical management was mostly by chemotherapy (<em>n</em> = 7) and hormonal therapy (<em>n</em> = 3). Surgical excision of the skin lesion was performed in 5 cases.</p></div><div><h3>Conclusion</h3><p>Cutaneous breast metastasis in the absence of the primary lesion is a rare phenomenon. Most cases reviewed were managed with multimodal approach including surgical and medical management. This review provides reference for physicians coming across similar cases.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100296"},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266662192400019X/pdfft?md5=993450f559666c545da066ded6832304&pid=1-s2.0-S266662192400019X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141083352","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":"Alpelisib (phosphatidylinositol 3-kinase inhibitor) induced uncontrolled hyperglycemia and colitis","authors":"Sanchit Duhan ,&nbsp;Nadeem Tabbara ,&nbsp;Bijeta Keisham ,&nbsp;Nymisha Boddeti ,&nbsp;Daniel A. Laheru","doi":"10.1016/j.cpccr.2024.100294","DOIUrl":"https://doi.org/10.1016/j.cpccr.2024.100294","url":null,"abstract":"<div><p>Alpelisib is currently the only Phosphatidylinositol 3-kinase (PI3K) inhibitor approved for treating endocrine therapy-resistant metastatic breast cancer with a Phosphatidylinositol-4,5-bisphosphonate 3-kinase catalytic subunit alpha (PIK3CA)-mutation. Significant side effects of treatment include hepatotoxicity, hyperglycemia, diarrhea, nausea, stomatitis, fatigue, anorexia, and rash. We discuss the case of a 71-year-old woman with PI3K-mutated metastatic breast cancer and diabetes who presented with abdominal pain, nausea, and anorexia. She was started on alpelisib 250 mg daily four days before the hospital presentation. Notable labs at presentation included a glucose of 537 mg/dL and intrinsic renal acute kidney injury (AKI) with a creatinine of 1.6 mg/dL (baseline 1.2–1.3 mg/dL). A Computed Tomography (CT) scan was suggestive of typhlitis/colitis. After excluding other causes of hyperglycemia, she was diagnosed with alpelisib-induced hyperglycemia. Hyperglycemia with alpelisib is often severe and should prompt immediate consultation with endocrinology. Sodium-glucose co-transporter (SGLT) -2 inhibitors have been the most studied. However, concurrent kidney injuries may limit their real-world application. Alpelisib-associated complications subjected our patient to additional imaging, antibiotics, and prolonged hospital stay (6 days). The overall survival is not significantly increased with alpelisib as per the currently available data. More prospective trials will help assess and balance this drug's safety/efficacy profile to achieve better outcomes.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100294"},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000176/pdfft?md5=f6aba6ed2552a9ca1b2a17d2044f679d&pid=1-s2.0-S2666621924000176-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077874","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":"Advanced non-small cell lung cancer patient with a complete response and allergic immune-related adverse events by combined immunotherapy, including anti-CTLA-4 and anti-PD-1 antibodies: A case report","authors":"Chiho Nakashima ,&nbsp;Yuki Kuwahara ,&nbsp;Syo Kitamura ,&nbsp;Keita Kai ,&nbsp;Masafumi Hiratsuka ,&nbsp;Kokoro Kajiwara ,&nbsp;Natsuko Komiya ,&nbsp;Shinsuke Ogusu ,&nbsp;Shinya Kimura ,&nbsp;Naoko Sueoka-Aragane","doi":"10.1016/j.cpccr.2024.100298","DOIUrl":"https://doi.org/10.1016/j.cpccr.2024.100298","url":null,"abstract":"<div><p>Immune checkpoint inhibitors (ICIs) are indispensable agents that may improve the long-term prognosis of non-small cell lung cancer. However, clinicians should always be aware that its immune-modulating mechanism of action may lead to unexpected immune-related adverse events (irAE). We report here a case of a 72-year-old man with adenocarcinoma of the lung who achieved a complete response to nivolumab plus ipilimumab plus chemotherapy but also suffered from a variety of immune-related adverse events. In this patient, Th1 immunity, which is involved in antitumor immunity, and Th2 immunity were activated, resulting in allergy-related reactions, including increased airway hyperresponsiveness and a marked increase in serum IgE levels. After starting corticosteroids, the allergic symptoms were well controlled. Remarkably, despite discontinuing ICI treatment, the patient has maintained a complete response for 27 months. Fortunately, we obtained lung and lymph node tissues from this patient after ICI administration and histologically examined the Th1 and Th2 immune status.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100298"},"PeriodicalIF":0.0,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000218/pdfft?md5=5986a42e2b6da6b36d5f1db3b63fca88&pid=1-s2.0-S2666621924000218-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072790","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":"Acro metastasis: A rare presentation in a common cancer","authors":"Ali Ghanei-Shahmirzadi ,&nbsp;Nasrin Namdari ,&nbsp;Maral Mokhtari ,&nbsp;Pooya Iranpour","doi":"10.1016/j.cpccr.2024.100292","DOIUrl":"https://doi.org/10.1016/j.cpccr.2024.100292","url":null,"abstract":"<div><h3>Background</h3><p>Case presentation: In this study, we presented an Iranian female with triple-negative breast cancer that developed acro-metastasis to the hand</p></div><div><h3>Conclusions</h3><p>However, bone metastasis is the most common kind of neoplasm extension that we can witness in the breast cancer, acro-metastasis to the hand is an extremely rare kind of bone metastasis that we can expect.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100292"},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000152/pdfft?md5=2627aafdb6a031d098aba25351b77491&pid=1-s2.0-S2666621924000152-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077873","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":"Inflammation of actinic keratoses after the use of docetaxel plus cyclophosphamide","authors":"Ashley Wittmer ,&nbsp;Lindsey Finklea ,&nbsp;Jonathan Joseph","doi":"10.1016/j.cpccr.2024.100293","DOIUrl":"10.1016/j.cpccr.2024.100293","url":null,"abstract":"<div><p>Actinic keratoses are common pre-malignant lesions of the skin that have been documented to become inflamed after the use of chemotherapy. Several agents, such as 5-fluorouracil, capecitabine, pentostatin, dactinomycin, vincristine, dacarbazine, cytarabine, 6-thioguanine, sorafenib, paclitaxel, and docetaxel have been documented to cause this reaction. This case report aims to describe the inflammation of actinic keratoses in response to docetaxel plus cyclophosphamide. A 64-year-old woman undergoing chemotherapy for breast cancer presented to the clinic with multiple scaly, erythematous papules covering her shoulders, arms, chest, and back. This occurred 15 days after treatment with IV docetaxel plus cyclophosphamide. The results of the shave biopsies done at the visit were consistent with inflammation. She was treated with topical triamcinolone ointment and the inflammation greatly improved within one month. The inflammation was completely resolved two months after completing therapy with docetaxel plus cyclophosphamide. Documentation of cutaneous adverse events help provide awareness of this reaction and thereby prevent cessation of necessary cancer treatments. Further research is needed to determine which patients undergoing chemotherapy may be susceptible to inflammation of actinic keratoses.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100293"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000164/pdfft?md5=b2323e149187f056d021ab472e000e66&pid=1-s2.0-S2666621924000164-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141040979","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":"Co-Occurrence of ALK rearrangement and KRAS G12C mutation in NSCLC: Report of two cases","authors":"M Siringo ,&nbsp;F Larocca ,&nbsp;A Spagnuolo ,&nbsp;G Gentile ,&nbsp;M Anile ,&nbsp;D Diso ,&nbsp;D Santini ,&nbsp;A Gelibter","doi":"10.1016/j.cpccr.2024.100291","DOIUrl":"https://doi.org/10.1016/j.cpccr.2024.100291","url":null,"abstract":"<div><p>In the last few years, non-small cell lung cancer (NSCLC) treatment has totally revolutionized by the improvement in molecular diagnostics and the introduction of targeted therapies, becoming the standard of care in patients with actionable alterations. Mostly, genomic mutations are mutually exclusive although some cases of co-occurring actionable alterations could be discovered, especially with the recent introduction of genomic sequencing by next generation sequencing (NGS). Few data are available in the treatment of these particular cases. The co-occurring RAS G12C mutation seems to be a poor prognostic factor in patients with ALK rearranged NSCLC. We report two cases of women with diagnosis of advanced adenocarcinoma oncogene addicted with ALK rearrangement and KRAS G12C mutation. In both cases the PD-L1 status was high (&gt; 50 %). Although both received Alectinib as ALK inhibitor, the lesion rapidly progressed. The patients had benefit only by treatments with chemotherapy, while anti PD-1/PD-L1 axis inhibitors seemed to be inefficient. Precise diagnostic techniques allow the detection of concomitant driver alterations; therefore, oncologists should consider these rare double mutations in NSCLC patients. Further prospective study is still warranted to investigate the role of co-occurring driver alterations and the relevant treatment paradigm</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100291"},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000140/pdfft?md5=24447c841c93e8461976d6677b722c8b&pid=1-s2.0-S2666621924000140-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140918555","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":"The use of ctDNA MRD precision medicine surveillance after definitive treatment of early-stage, high-risk breast cancer in a radiation oncology practice: A case series","authors":"Michael A. Durka ,&nbsp;Eemon Tizpa ,&nbsp;Brian D. Lawenda","doi":"10.1016/j.cpccr.2024.100295","DOIUrl":"10.1016/j.cpccr.2024.100295","url":null,"abstract":"<div><p>Standard of care for patients with early-stage breast cancer typically does not use systemic surveillance or imaging studies following the administration of definitive treatment. However, the use of a circulating tumor DNA (ctDNA) test may provide an opportunity for early detection of cancer recurrence, particularly in patients with high-risk or aggressive forms of the disease. We present two cases of early-stage triple-negative breast cancer (TNBC) in which ctDNA screening facilitated early detection of recurrence prior to detection by imaging. As a result, treatment was initiated sooner than would have been possible in the absence of ctDNA screening.</p><p>These cases underscore the potential utility of ctDNA screening integration within a radiation oncology practice for the detection of recurrent breast cancer, and how their use in routine clinical practice could benefit patients. We also provide a review of the current literature on ctDNA testing, including its benefits and limitations. While there is currently insufficient data to support the routine use of ctDNA screening in all patients, we speculate on specific patient populations that may derive the greatest benefit from this innovative diagnostic tool.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100295"},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000188/pdfft?md5=66906b35790af2ba622b686341d79661&pid=1-s2.0-S2666621924000188-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042517","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":"Combination pembrolizumab and lenvatinib in metastatic mismatch repair deficient adenocarcinoma of Mullerian origin: A case report","authors":"Jessica M. Velasquez,&nbsp;Matthew Flint,&nbsp;Caitlin Carr,&nbsp;Samantha Cohen","doi":"10.1016/j.cpccr.2024.100297","DOIUrl":"10.1016/j.cpccr.2024.100297","url":null,"abstract":"<div><h3>Background</h3><p>For mismatch repair protein deficient (dMMR) endometrial cancer (EC), first line therapy remains platinum-based chemotherapy. For dMMR EC that has progressed on standard first line platinum containing chemotherapy, treatment with programmed death ligand-1 (PD-1) inhibitors such as pembrolizumab have become integral to second line therapy. The challenging question remains, however, what the next best step is when these treatments fail.</p></div><div><h3>Case</h3><p>Here we report the case of a 71-year-old female who developed disease recurrence more than 20 years after surgical treatment for early stage dMMR endometrioid EC, with subsequent progression of disease on second line pembrolizumab therapy; however displayed excellent response to third line treatment with lenvatinib and pembrolizumab.</p></div><div><h3>Conclusion</h3><p>Consensus regarding third line treatment for patients with dMMR EC who progress on single agent PD-1 inhibitors after platinum-based chemotherapy failure remains unclear. While single agent pembrolizumab has demonstrated the greatest efficacy for dMMR disease, this case demonstrates a patient who had progression of disease on single agent pembrolizumab, however had excellent response with combination pembrolizumab and lenvatinib. Further study is warranted to assess the efficacy of this regimen for advanced or recurrent dMMR EC.</p></div>","PeriodicalId":72741,"journal":{"name":"Current problems in cancer. Case reports","volume":"14 ","pages":"Article 100297"},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666621924000206/pdfft?md5=53ec6027d213bdcae4889c6a034bcb38&pid=1-s2.0-S2666621924000206-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044418","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}