scholarly journals Long-term response to first-line trabectedin in an elderly female patient with a metastatic leiomyosarcoma unfit for anthracycline

2016 ◽  
Vol 27 (3) ◽  
pp. 264-267 ◽  
Author(s):  
Marco Maruzzo ◽  
Antonella Brunello ◽  
Alberto Diminutto ◽  
Marco Rastrelli ◽  
Umberto Basso
2018 ◽  
pp. bcr-2018-225566
Author(s):  
Volker Pönitz ◽  
Karl Jakob Evensen

Accidental long-term dabigatran etexilate inhalation was associated with subtherapeutic dabigatran serum concentrations in an elderly female patient with restrictive lung disease. A significant improvement in her pulmonary function was noted without other therapy directed towards her bronchopulmonary disease.


2015 ◽  
Vol 33 (7_suppl) ◽  
pp. 436-436
Author(s):  
Srinivas Kiran Tantravahi ◽  
Shiven B. Patel ◽  
Sowmya Ravulapati ◽  
Julia A. Batten ◽  
Joseph Merriman ◽  
...  

436 Background: A subset of metatstatic renal cell carcincoma (mRCC) patients (pts) on first-line (1st) vascular endothelial growth factor inhibitors (VEGF TKIs) will have a long-term response (LTR) defined as a progression free survival (PFS) of >18 months (mos) on continuous therapy, and may be candidates for intermittent VEGF TKI therapy. Methods: From our institutional dataset of mRCC pts, we identified pts receiving 1st VEGF TKIs and who achieved a LTR. Data on clinical characteristics and survival outcomes were compared between those with LTRs and rest of the patients (control). Continuous and categorical variables were assessed by Wilcoxon rank sum and chi-square, respectively; and survival outcomes were compared by log-rank tests. Results: Of 89 pts, 24 (33%) had LTRs, of whom 5 pts have discontinued treatment (range 1-5 years) without subsequent disease progression, and 4 pts took treatment breaks for 3-9 mos. Baseline pts or disease characteristics were not predictive of LTRs (Table). Conclusions: A subset of mRCC pts receiving 1st VEGF TKIs achieve a LTR, and are not currently identifiable by baseline clinical characteristics including prognostic risk categorization. Identification of biomarkers predictive of LTR may allow intermittent or even deferred therapy with VEGF TKIs minimizing toxicity and cost. [Table: see text]


2017 ◽  
Vol 12 (11) ◽  
pp. S2210
Author(s):  
M. Schuler ◽  
J.C. Yang ◽  
L. Sequist ◽  
Y. Wu ◽  
C. Zhou ◽  
...  
Keyword(s):  

2014 ◽  
Vol 8 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Yukio Nakamura ◽  
Mikio Kamimura ◽  
Keijiro Mukaiyama ◽  
Shota Ikegami ◽  
Shigeharu Uchiyama ◽  
...  

Osteonecrosis (ON), subchondral insufficiency fracture (SIF), and rapidly destructive coxopathy (RDC) are considered to be clinically different disorders despite exhibiting several overlapping features. We encountered an elderly female patient with an atypical clinical course who was radiographically diagnosed as having osteoarthritis (OA), ON, SIF, and/or RDC over a long-term follow-up. In this case, radiographic diagnosis was apparently affected by the timing of imaging evaluation and was challenging because of radiographic overlap and atypical disease progression. The disorders of OA, SIF, ON, and RDC might share a similar pathophysiology.


2018 ◽  
Vol Volume 11 ◽  
pp. 5845-5852 ◽  
Author(s):  
Andrés Redondo ◽  
Manuel Ramos Vázquez ◽  
Luis Manso ◽  
Miguel J Gil Gil ◽  
Isabel Garau Llinas ◽  
...  

2018 ◽  
Vol 38 (8) ◽  
pp. 4913-4918 ◽  
Author(s):  
ANDREA SBRANA ◽  
ELISA BIASCO ◽  
FEDERICO PAOLIERI ◽  
ERICA PALESANDRO ◽  
CLAUDIA CASERTA ◽  
...  

2014 ◽  
Vol 32 (4_suppl) ◽  
pp. 462-462
Author(s):  
Philippe Barthelemy ◽  
Bernard Escudier ◽  
Florence Joly ◽  
Lionnel Geoffrois ◽  
Brigitte Laguerre ◽  
...  

462 Background: Everolimus is considered as a standard of care for the second line treatment of metastatic renal cell carcinoma (mRCC). Currently no clinical or biological predictive factors are available to help physicians to choose the best second line option between everolimus or TKI. Whether correlation exists between response to first line and response to second line remains debatable. Methods: We performed a subgroup analysis of the SECTOR study, a retrospective survey of patients (pts) receiving everolimus after TKI in 26 french centers to analyse long responders to everolimus. Long-term response to everolimus was defined as progression-free >9 months. Recorded variables included: patients characteristics of first line TKI (duration, response), duration of everolimus, efficacy and toxicity as well as overall survival. Results: 164 patients in 26 french cancer centres were included in the SECTOR study between october 2008 and october 2012. All patients received everolimus as second line treatment. Median age was 64.6 y.o, main histological subtype was clear-cell carcinoma (92.3%). Among the whole study cohort, we identified 30 patients (21%) as long-term responders (ranging from 9 to 33 months). Analysis of this patient population is ongoing and will be presented at the meeting. Correlation between long response and prognostic factors, as well as response to first TKI will be determined. Conclusions: Everolimus achieves long-term response in more than 20% of mRCC treated in second line. Prolonged treatment was relatively well tolerated without any unexpected late toxicity. Further investigations, especially biological studies, are warranted to identify predictive factors which will help physicians to identify long-term responder and choose the best second line option for mRCC patients.


Author(s):  
Deborah Yihler ◽  
Kathrin Vollmer ◽  
Antonio Cozzio

ABSTRACT Merkel cell carcinoma (MCC) is a rare and difficult-to-treat cutaneous malignancy with a poor prognosis. Treatment protocols for localized MCC are well established. Until recently, metastatic MCC has generally been treated with chemotherapy, which was often associated with poor clinical responses and significant toxicity. In this report, the case of a patient with metastatic MCC who received avelumab, an immune checkpoint inhibitor, after an inadequate response to first-line radiotherapy and chemotherapy, is presented. Nine months after the initiation of the treatment with avelumab, the patient achieved a partial remission with no treatment-related adverse events. After a follow-up of 17 months, a systematically ongoing partial response was reported. In conclusion, this case study offers a clinical insight into the patient’s case and highlights the importance of immunotherapy as a first-line therapy for metastatic MCC.


2019 ◽  
Vol 11 (3) ◽  
pp. 268-272
Author(s):  
Andrew P. Sauvageau ◽  
Jacob Mojeski ◽  
Thomas W. Fiorica ◽  
Craig C. Miller

Erythema gyratum repens (EGR) is a rare paraneoplastic skin condition characterized by the eruption of expanding, concentric, erythematous patches and plaques. The condition may precede a symptomatic appearance of internal malignancy, and therefore provides a unique opportunity to prevent additional morbidity and mortality secondary to undetectable cancer growth. We report the case of a 71-year-old female patient clinically diagnosed with EGR and subsequently diagnosed with otherwise asymptomatic adenocarcinoma of the lung.


Sign in / Sign up

Export Citation Format

Share Document