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Case Reports in Oncology

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https://www.readbyqxmd.com/read/28966584/fatal-acute-liver-failure-as-a-consequence-of-regorafenib-treatment-in-a-metastatic-colon-cancer
#1
Dominique Béchade, Marie Desjardin, Claire Castain, Pierre-Henri Bernard, Marianne Fonck
Regorafenib is a multikinase inhibitor which showed benefits in pretreated metastatic colorectal cancer patients. Hepatotoxicity has been described as a frequent side effect. We report the case of a 65-year-old patient presenting with jaundice, fever, and hepatocellular insufficiency which led to death of the patient. She had previously been treated with several lines of chemotherapy for sub- and diaphragmatic ganglionic metastases of a colon adenocarcinoma. There were no liver metastases. The fatal liver failure occurred at the beginning of treatment with regorafenib at a dosage of 3 tablets per day...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28966583/nedaplatin-as-a-single-agent-chemotherapy-may-support-palliative-therapy-for-patients-with-adenoid-cystic-carcinoma-a-case-report
#2
Hiroyuki Hirakawa, Takayoshi Kiba, Yuko Saito, Yoshiteru Watanabe, Takahiro Suzuki, Nobuo Ota
Adenoid cystic carcinoma (ACC) is a rare form of adenocarcinoma, which is a broad term describing any cancer that begins in the glandular tissues. It can be found in the head and neck. We report a patient with recurrent ACC arising from the submandibular gland, treated with 100 mg/m(2) nedaplatin every 4 weeks. Although our patient's lactate dehydrogenase levels, which is produced by ACC, showed a rising trend throughout the treatment, the level decreased for approximately 2 weeks immediately after administration of nedaplatin every 4 weeks...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28966582/what-is-different-in-the-population-of-the-brazilian-amazon-region-so-that-they-have-a-low-frequency-of-kras-gene-mutations
#3
Luis Eduardo W de Carvalho, Jonathan S Sarraf, Ana Carolina M Oliveira, Nilson D B Neto, Thiago F Câmara, Fernando Luiz A Fonseca, Fernando Adami
BACKGROUND: Colorectal cancer (CRC) has been described in the medical literature as resulting from many forms of interaction between lifestyle, genetics, and geographical origin. Genetically, the KRAS gene has a negative impact on the general survival and prognosis of patients when mutated. METHODS: This study was conducted in Brazil and included information about 60 patients with CRC stage III and IV examined at the Day Hospital Oncológica do Brasil, whose DNA was analyzed with the PCR-DNA method to determine the existence of a KRAS mutation...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28924432/stercoral-ulcer-associated-perforation-and-chemotherapy
#4
Mohamad A Mouchli, Anne M Meehan
Stercoral ulcer perforation is a life-threatening surgical condition which is thought to result from necrosis of the bowel wall due to an ischemic pressure by stool. This condition usually afflicts patients with chronic constipation. CT scan can identify most of the cases and emergent surgery is usually indicated.
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878664/a-novel-prkar1a-mutation-identified-in-a-patient-with-isolated-primary-pigmented-nodular-adrenocortical-disease
#5
Sira Korpaisarn, Objoon Trachoo, Bhakbhoom Panthan, Rangsima Aroonroch, Ronnarat Suvikapakornkul, Chutintorn Sriphrapradang
Primary pigmented nodular adrenocortical disease (PPNAD) is a rare cause of Cushing syndrome, especially the isolated form without Carney complex, associated with germline mutations in PRKAR1A, the protein kinase A regulatory subunit type 1 alpha gene. We report a 31-year-old female who presented with secondary amenorrhea, cushingoid appearance, and hypertension without Carney complex. Biochemical laboratory examinations confirmed the ACTH-independent adrenal Cushing syndrome with negative Liddle test. A small right adrenal adenoma of 0...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878663/subacute-cerebellar-degeneration-due-to-a-paraneoplastic-phenomenon-associated-with-metastatic-merkel-cell-carcinoma-a-case-report
#6
Angelos Sharobeam, Jason Ray, Juliana Dong, Victor Chong
PURPOSE: The aim of this article is to illustrate the diagnostic challenges and management of paraneoplastic neurological syndromes in Merkel cell carcinoma. MATERIALS AND METHODS: We describe a previously functionally independent 85-year-old woman who presented with subacute onset of dizziness and gait ataxia in the setting of metastatic Merkel cell carcinoma. RESULTS: Diagnosis was made on biopsy after positron emission tomography imaging revealed increased metabolic activity in 2 left inguinofemoral lymph nodes...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878662/epulis-like-presentation-of-gingival-renal-cancer-metastasis
#7
Gianfilippo Nifosì, Hubert Bressand, Antonio Fabrizio Nifosì, Lorenzo Nifosì, Pierre Damseaux
Mouth metastatic cancers are very rare and they usually represent the evidence of a widespread disease. Common primary tumors are lung carcinoma in men and breast carcinoma in women, followed by kidney cancer. In the oral soft tissues, the gingiva is the most common site, suggesting a possible role of inflammation in the attraction of circulating tumor cells. Oral metastasis has a serious prognosis. In this work, we describe the case of a 58-year-old man affected by renal cancer, who was brought to our attention for the appearance of a gingival swelling...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878661/the-successful-treatment-of-pulmonary-pleomorphic-carcinoma-with-pembrolizumab-a-case-report
#8
Yoko Matsumoto, Tamaki Miura, Hajime Horiuchi, Kazuhiro Usui
Pulmonary pleomorphic carcinomas are rare malignant tumors, and no standard treatments have been established. We herein report the successful treatment of a patient with pulmonary pleomorphic carcinoma with pembrolizumab. A 51-year-old man who was a current smoker presented to our hospital due to dyspnea and hemosputum. Chest X-ray showed right-sided pneumothorax with pleural effusion; chest tube drainage was therefore performed. Computed tomography after chest tube drainage showed a cavitary nodule in the right upper lobe and right hilar and bilateral mediastinal lymphadenopathy...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878660/long-term-progression-of-sensorineural-hearing-loss-and-tinnitus-after-combined-intensity-modulated-radiation-therapy-and-cisplatin-based-chemotherapy-for-nasopharyngeal-carcinoma-a-case-report
#9
Ming S Lee, Sudha Penumala, Steven Sweet, Russell R De Luca, Ariel E Stearnes, Yamac Akgun
Sensorineural hearing loss (SNHL) is a common adverse effect for nasopharyngeal carcinoma (NPC) patients treated with chemoradiotherapy. We report a case of 12-year follow-up from a patient with stage IIB NPC, treated in 2004 with intensity-modulated radiotherapy and cisplatin-based chemotherapy. Pure-tone audiograms were conducted before treatment and at two other points in the 12-year period after treatment. Analysis of the patient's audiograms reveals that the development of high-frequency SNHL started after treatment and reached a plateau accompanied by tinnitus approximately 32 months after treatment conclusion...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878659/a-case-of-cervical-carcinoid-and-review-of-the-literature
#10
Georgios Papatsimpas, Ioannis Samaras, Paraskevi Theodosiou, Konstantina Papacharalampous, Eleni Maragkouli, N Vasileios Papadopoulos, Konstantinos Tsapakidis, Ioannis Litos, Eleni Sogka, Evanthia Kostopoulou, Georgios K Koukoulis
Uterine cervix carcinoids are distinct neuroendocrine cervical tumors, representing a comparatively small percentage of them. These well-differentiated neoplasms are far less prevalent than small- and large-cell carcinomas, characterized by a more favorable biological course. We report a case of a 43-year-old woman with a nonmetastatic cervical carcinoid, managed with radical hysterectomy. She still remains free of disease. Scant reports in the literature prohibit any reliable prediction of cervical carcinoid prognosis...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878658/synchronous-endometrial-and-ovarian-carcinoma-a-case-series
#11
Georgios-Marios Makris, Georgia Manousopoulou, Marco-Johannes Battista, Ioannis Salloum, Georgios Chrelias, Charalampos Chrelias
Synchronous ovarian and endometrial cancer (SEOC) is a rare instance but it accounts for 50-70% of all synchronous female genital tract tumors. We report three cases of women who were diagnosed with SEOC and underwent surgical staging. All cases were of the endometrioid subtype, grade 1, both in the ovarian and endometrial component. Two of them were stage Ia/Ia, and the third was stage Ib/Ib. More than 2 years after the diagnosis, all patients were alive and recurrence-free. The present report critically discusses the main characteristics, risk factors, and management of patients with SEOCs...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878657/targeted-approaches-applied-to-uncommon-diseases-a-case-of-salivary-duct-carcinoma-metastatic-to-the-brain-treated-with-the-multikinase-inhibitor-neratinib
#12
Karl R Sorenson, Guilherme Piovezani Ramos, Jose Caetano Villasboas Bisneto, Katharine Price
Salivary duct carcinoma is a rare malignancy associated with hormone receptor and human epidermal growth factor receptor 2 (HER2) overexpression. Local surgical control is the cornerstone of therapy, but a subset of patients develops metastatic disease portending a poor prognosis and limited management options. Intracranial metastases are an uncommon manifestation and present a therapeutic challenge. We report the case of a 31-year-old male who presented with facial pain and swelling subsequently diagnosed with salivary duct carcinoma...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878656/dramatic-response-of-a-metastatic-primary-small-cell-carcinoma-of-the-pancreas-to-a-trial-of-immunotherapy-with-nivolumab-a-case-report
#13
Justin Kenneth Ugwu, Chiemeziem Nwanyanwu, Abhay Ramchandra Shelke
Extrapulmonary small-cell neuroendocrine cancers are rare in clinical practice. They are frequently metastatic at the time of diagnosis with survival in months even with the most intensive treatment. So far, treatment recommendations for this group rely on data from the similar but more common small-cell carcinoma of the lungs. Immune checkpoint inhibitors are being investigated for the treatment of metastatic small-cell lung cancer with positive outcome. We applied the experience from these studies to a case of metastatic small-cell neuroendocrine cancer of the pancreas using nivolumab as a treatment of last resort...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878655/dedifferentiated-liposarcoma-in-the-spermatic-cord-finally-diagnosed-at-7th-resection-of-recurrence-a-case-report-and-bibliographic-consideration
#14
Kento Morozumi, Yoshihide Kawasaki, Yasuhiro Kaiho, Naoki Kawamorita, Fumiyoshi Fujishima, Mika Watanabe, Yoichi Arai
Liposarcoma in the spermatic cord is infrequent, and accurate diagnosis of histopathological subtype is often difficult in spite of the importance of differential diagnosis for adequate treatment. A 54-year-old man underwent left-sided high orchiectomy with inguinal lymphadenectomy for a spermatic cord tumor in July 2006. The initial histopathological report diagnosed leiomyosarcoma in the spermatic cord. He then underwent surgeries for repeated recurrences a further 6 times between July 2008 and May 2014. Pathological finding at the 7th resection of the recurrent tumor was osteosarcoma, which was uncommon in the spermatic cord...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878654/advanced-tracheal-adenoid-cystic-carcinoma-with-thyroid-invasion-mimicking-thyroid-cancer-treated-with-definitive-radiation-case-report-and-review-of-the-literature
#15
Sondos Al Khatib, Wafa Asha, Omar Khzouz, Farid Barakat, Jamal Khader
A 54-year-old female patient, a breast cancer survivor and a case of unresectable adenoid cystic carcinoma of the trachea, with thyroid invasion, presented with suprasternal neck swelling mimicking thyroid primary. A literature search was undertaken to highlight this rare presentation. There have been few reports in the literature describing tracheal adenoid cystic carcinoma involving the thyroid.
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878653/correlation-between-tumor-infiltrating-lymphocytes-and-pathological-response-in-locally-advanced-breast-cancer-patients-who-received-neoadjuvant-chemotherapy-in-h-adam-malik-general-hospital
#16
Kamal Basri Siregar, Jamaluddin Pane, Rikson Siburian
BACKGROUND: Tumor-infiltrating lymphocytes (TILs) are emerging as biomarkers mediating tumor response to treatments. Earlier studies have provided evidence that the level of TILs has prognostic value, particularly in triple-negative and human epidermal growth factor receptor-2-positive breast cancer. Moreover, the level of TILs has been associated with treatment outcome in patients undergoing neoadjuvant chemotherapy, and there is a strong correlation with pathologically complete response...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878652/solitary-skeletal-muscle-metastasis-as-first-site-of-recurrence-of-cervical-cancer-a-case-report
#17
Indumathy Varadarajan, Aparna Basu, Sherri Besmer, Jaganmohan Poli, Scott Richard, Michael Styler
Cervical cancer is the fourth most common cancer in women worldwide, with a large majority of prevalence (85%) in developing countries. As of 2012, it accounts for 7.5% of all female cancer deaths. Despite its high prevalence, skeletal muscle metastasis from cervical cancer is extremely uncommon. In our extensive literature search, we were able to find only 8 cases where skeletal muscle metastasis was the only site of recurrence. We report a case of a 52-year-old African-American woman with a past medical history of cervical cancer (stage IIIB) who presented with pain and swelling in her left upper arm over the preceding 2 months...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878651/ischemic-colitis-associated-with-paclitaxel-and-carboplatin-combination
#18
Ahmed Gamal Elsayed, Roma Srivastava, Toni Pacioles, Teresa Limjoco, Maria Tria Tirona
A 62-year-old white female with a history of early-stage triple-negative breast cancer on a combination of carboplatin and paclitaxel in the adjuvant setting presented with lower gastrointestinal bleeding. She tolerated 4 cycles of dose-dense adriamycin/cyclophosphamide with no major symptoms. After 6 cycles of weekly paclitaxel in combination with carboplatin every 3 weeks, she presented with diarrhea and lower gastrointestinal bleeding. Colonosopic examination showed erythema and inflammation in the splenic flexure, descending colon, and sigmoid colon consistent with ischemic colitis...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878650/interstitial-lung-disease-following-single-agent-nanoparticle-albumin-bound-paclitaxel-treatment-in-patients-with-advanced-non-small-cell-lung-cancer
#19
Yuki Nakatani, Aya Nakaya, Takayasu Kurata, Takashi Yokoi, Yuki Takeyasu, Maiko Niki, Kayoko Kibata, Naoko Satsutani, Makoto Ogata, Takayuki Miyara, Shosaku Nomura
Interstitial lung disease (ILD) is a serious and potentially fatal adverse event in lung cancer therapy. Nanoparticle albumin-bound paclitaxel (nab-PTX) is a novel, solvent-free formulation of paclitaxel (PTX). Although the incidence of nab-PTX-induced ILD is not clear, it is generally considered that this formulation presents a similar risk of developing ILD as PTX. Here, we report 3 patients who developed severe ILD following treatment with nab-PTX. We draw attention to the risk of developing drug-induced ILD following nab-PTX treatment, and highlight that this novel formulation might therefore not be as safe as PTX with respect to the development of ILD...
May 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28878649/a-symptomatic-case-of-adenomatous-ductal-proliferation-hyperplasia-with-a-large-cystic-lesion
#20
Nobuhiko Seki, Norikazu Yamazaki, Tatsuru Ikeda, Hiroshi Hadara, Tetsuo Himi
Adenomatous ductal proliferation/hyperplasia (ADP/H) of the salivary gland, a rare asymptomatic nonneoplastic lesion that histopathologically resembles basal cell adenoma, is typically incidentally identified in resected specimens of other salivary diseases such as tumors and chronic sialadenitis. A 70-year-old male was referred to our hospital with a 9-month history of continuous swelling in the left parotid region. A physical examination revealed a soft mass in the left parotid gland, which was identified as a cystic mass by computed tomography...
May 2017: Case Reports in Oncology
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