Rapidly progressive squamous cell lung cancer with MET exon 14 skipping mutation metastasized to atypical bone sites - a case report
Jazyk angličtina Země Česko Médium print
Typ dokumentu kazuistiky, časopisecké články
PubMed
35236084
DOI
10.48095/ccko202272
PII: 129726
Knihovny.cz E-zdroje
- Klíčová slova
- MET exon 14 skipping mutation, bone metastasis, hypercalcemia, rapid progression, squamous cell lung cancer,
- MeSH
- epitelové buňky patologie MeSH
- exony * MeSH
- lidé středního věku MeSH
- lidé MeSH
- metastázy nádorů MeSH
- mutace MeSH
- nádory plic * MeSH
- nemalobuněčný karcinom plic * genetika patologie MeSH
- protoonkogenní proteiny c-met * genetika MeSH
- spinocelulární karcinom * genetika patologie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- MET protein, human MeSH Prohlížeč
- protoonkogenní proteiny c-met * MeSH
BACKGROUND: The mesenchymal-epithelial transition factor (MET) exon 14 skipping mutation has recently emerged as a driver gene in non-small cell lung cancer (NSCLC) in clinical practice. Clinical trials of several MET inhibitors have shown the effectiveness of MET inhibitors in NSCLC patients with MET exon 14 skipping mutation. To the best of our knowledge, however, there was no patient with sole MET exon 14 skipping mutation who progressed rapidly and had a poor prognosis. CASE: A 61-year-old man presented with pain in the dorsum of the left foot and in the left elbow. Chest CT revealed a mass in the right lower lobe of the lung, and FDG-PET showed metastases in the ribs, thoracic vertebra, left elbow, and left metacarpal bone. Corrected calcium level was elevated up to 14.1mg/dL. The histopathology of the transbronchial bio-psy specimen was morphologically consistent with squamous cell carcinoma. MET exon 14 skipping mutation was positive in Oncomine Dx Target Test Multi-CDx system. Within a few weeks of admission, the patients respiratory condition rapidly deteriorated carcinomatous lymphangiosis and died of acute respiratory failure one month after admission. In this patient, bone metastases to atypical sites and hypercalcemia were also observed. CONCLUSION: Chest physicians should be noted that there might be rapidly progressive fatal patients among those with MET exon 14 skipping mutations.
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