Transformation from Small Cell to Squamous Cell Carcinoma in a Thymic Carcinoma Patient with a Durable Response to Anlotinib: A Case Report

被引:3
作者
Qin, Wenru [1 ,2 ]
Zou, Bing [2 ]
Fan, Xinyu [2 ,3 ]
Fan, Bingjie [2 ]
Wang, Shijiang [2 ]
Wang, Linlin [2 ]
机构
[1] Weifang Med Univ, Dept Oncol, Weifang, Shandong, Peoples R China
[2] Shandong First Med Univ & Shandong Acad Med Sci, Shandong Canc Hosp & Inst, Dept Radiat Oncol, Jiyan Rd 440, Jinan 250117, Shandong, Peoples R China
[3] Shandong Univ, Cheeloo Coll Med, Dept Oncol, Jinan, Shandong, Peoples R China
关键词
thymic carcinoma; squamous cell carcinoma; small cell carcinoma; histologic transformation; anlotinib; ADENOCARCINOMA; CANCER;
D O I
10.2147/CMAR.S362858
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The most common pathologic type of thymic carcinoma (TC) is squamous cell carcinoma (SCC). Small cell carcinoma is relatively rare, accounting for approximately 2% to 5% of all thymic tumors. Histologic transformation of TC has not yet been reported. Available treatments for TC patients who progress after first-line therapy are limited, which contributes to their poor prognosis. We reported an extraordinary case of a 66-year-old man who was diagnosed with thymic small cell carcinoma that transformed into SCC after third-line treatment. Surprisingly, the patient had a progression-free survival (PFS) of 25 months and an overall survival (OS) of 10 years on anlotinib as fourth-line therapy. The tolerance was well. Thus, anlotinib may be a safe and promising treatment for TC patients, especially those who undergo histologic transformation. cell small cell anlotinib
引用
收藏
页码:1595 / 1602
页数:8
相关论文
共 22 条
[1]   Anlotinib vs placebo as third- or further-line treatment for patients with small cell lung cancer: a randomised, double-blind, placebo-controlled Phase 2 study [J].
Cheng, Ying ;
Wang, Qiming ;
Li, Kai ;
Shi, Jianhua ;
Liu, Ying ;
Wu, Lin ;
Han, Baohui ;
Chen, Gongyan ;
He, Jianxing ;
Wang, Jie ;
Lou, Donghua ;
Yu, Hao ;
Wang, Shanchun ;
Qin, Haifeng ;
Li, Xiaoling .
BRITISH JOURNAL OF CANCER, 2021, 125 (03) :366-371
[2]   Effect of anlotinib as a third- or further-line therapy in advanced non-small cell lung cancer patients with different histologic types: Subgroup analysis in the ALTER0303 trial [J].
Cheng, Ying ;
Han, Baohui ;
Li, Kai ;
Wang, Qiming ;
Zhang, Li ;
Shi, Jianhua ;
Wang, Zhehai ;
He, Jianxing ;
Shi, Yuankai ;
Chen, Weiqiang ;
Wang, Xiuwen ;
Luo, Yi ;
Nan, Kejun ;
Jin, Faguang ;
Li, Baolan ;
Zhu, Jing .
CANCER MEDICINE, 2020, 9 (08) :2621-2630
[3]   Immunohistochemical expression of vascular endothelial growth factor A (VEGF), and its receptors (VEGFR1, 2) in normal and pathologic conditions of the human thymus [J].
Cimpean, Anca Maria ;
Raica, Marius ;
Encica, Svetlana ;
Cornea, Remus ;
Bocan, Viorica .
ANNALS OF ANATOMY-ANATOMISCHER ANZEIGER, 2008, 190 (03) :238-245
[4]   Histopathological transformation to small-cell lung carcinoma in non-small cell lung carcinoma tumors [J].
Dorantes-Heredia, Rita ;
Manuel Ruiz-Morales, Jose ;
Cano-Garcia, Fernando .
TRANSLATIONAL LUNG CANCER RESEARCH, 2016, 5 (04) :401-412
[5]   Cisplatin and Irinotecan as First-Line Chemotherapy for Previously Untreated Metastatic Thymic Carcinoma: Updated Analysis [J].
Fukuda, Akito ;
Okuma, Yusuke ;
Hakozaki, Taiki ;
Mirokuji, Kie ;
Yomota, Makiko ;
Hishima, Tsunekazu ;
Hosomi, Yukio .
FRONTIERS IN ONCOLOGY, 2022, 11
[6]   Intratumor Heterogeneity and Branched Evolution Revealed by Multiregion Sequencing [J].
Gerlinger, Marco ;
Rowan, Andrew J. ;
Horswell, Stuart ;
Larkin, James ;
Endesfelder, David ;
Gronroos, Eva ;
Martinez, Pierre ;
Matthews, Nicholas ;
Stewart, Aengus ;
Tarpey, Patrick ;
Varela, Ignacio ;
Phillimore, Benjamin ;
Begum, Sharmin ;
McDonald, Neil Q. ;
Butler, Adam ;
Jones, David ;
Raine, Keiran ;
Latimer, Calli ;
Santos, Claudio R. ;
Nohadani, Mahrokh ;
Eklund, Aron C. ;
Spencer-Dene, Bradley ;
Clark, Graham ;
Pickering, Lisa ;
Stamp, Gordon ;
Gore, Martin ;
Szallasi, Zoltan ;
Downward, Julian ;
Futreal, P. Andrew ;
Swanton, Charles .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (10) :883-892
[7]   Squamous Cell Transformation of Primary Lung Adenocarcinoma in a Patient With EML4-ALK Fusion Variant 5 Refractory to ALK Inhibitors [J].
Gong, Jay ;
Gregg, Jeffrey P. ;
Ma, Weijie ;
Yoneda, Ken ;
Moore, Elizabeth H. ;
Daly, Megan E. ;
Zhang, Yanhong ;
Williams, Melissa J. ;
Li, Tianhong .
JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK, 2019, 17 (04) :297-301
[8]   Change of Pathological Type to Metaplastic Squamous Cell Carcinoma of the Breast During Disease Recurrence: Case Report and Literature Review [J].
Guo, Tianhui ;
Chen, Zhiying ;
Xu, Jinpeng ;
Zhang, Yongchun .
FRONTIERS IN ONCOLOGY, 2020, 10
[9]   Combined Small and Squamous Transformation in EGFR-mutated Lung Adenocarcinoma [J].
Hakozaki, Taiki ;
Kitazono, Miyako ;
Takamori, Mikio ;
Kiriu, Takahiro .
INTERNAL MEDICINE, 2020, 59 (10) :1291-1294
[10]   Anlotinib as a third-line therapy in patients with refractory advanced non-small-cell lung cancer: a multicentre, randomised phase II trial (ALTER0302) [J].
Han, Baohui ;
Li, Kai ;
Zhao, Yizhuo ;
Li, Baolan ;
Cheng, Ying ;
Zhou, Jianying ;
Lu, You ;
Shi, Yuankai ;
Wang, Zhehai ;
Jiang, Liyan ;
Luo, Yi ;
Zhang, Yiping ;
Huang, Cheng ;
Li, Qiang ;
Wu, Guoming .
BRITISH JOURNAL OF CANCER, 2018, 118 (05) :654-661