An aggressive case of a thoracic undifferentiated SMARCA4-deficient tumor with extensive pleural involvement.

SMARCA4 SMARCA4-deficient undifferentiated thoracic tumors lung cancer undifferentiated thoracic tumors

Journal

Thoracic cancer
ISSN: 1759-7714
Titre abrégé: Thorac Cancer
Pays: Singapore
ID NLM: 101531441

Informations de publication

Date de publication:
23 Feb 2024
Historique:
revised: 10 01 2024
received: 15 11 2023
accepted: 13 01 2024
medline: 23 2 2024
pubmed: 23 2 2024
entrez: 23 2 2024
Statut: aheadofprint

Résumé

SMARCA4-deficient undifferentiated thoracic tumors are a rare phenomenon. A 40-year-old male was newly diagnosed with SMARCA4-deficient undifferentiated non-small cell lung cancer. He had a history of heavy smoking and job-related exposure to metal dust and melted nickel. CT imaging showed numerous right-sided pleural masses and soft tissue plaques, but no metastases. CT-guided biopsy of a pleural mass confirmed the diagnosis. He was prescribed six cycles of carboplatin paclitaxel, and follow-up imaging showed largely stable disease. Treatment was changed to nivolumab due to shortness of breath, and he received one cycle of nivolumab without considerable side effects. Unfortunately, during the second cycle of his nivolumab, the patient presented with new weakness. Imaging showed spinal cord metastasis and he underwent a laminectomy; he was subsequently followed up as an outpatient. The objective of this publication was to explore SMARCA4-deficient undifferentiated thoracic tumors, other related SMARCA4-deficient tumors, and their overall pattern of presentation. The genetic aberrations of this case are compared to recent publications that also discuss genetic aberrations commonly occurring with this disease process, with an ultimate goal of hastening detection and adding to the library of treatment results.

Identifiants

pubmed: 38390699
doi: 10.1111/1759-7714.15230
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Authors. Thoracic Cancer published by John Wiley & Sons Australia, Ltd.

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Auteurs

Paul F Hanona (PF)

Department of Hematology and Oncology, Corewell Health - William Beaumont University Hospital, Royal Oak, Michigan, USA.

Daniel Ezekwudo (D)

Department of Hematology and Oncology, Corewell Health - William Beaumont University Hospital, Royal Oak, Michigan, USA.

Joseph Fullmer (J)

Department of Hematology and Oncology, Corewell Health - William Beaumont University Hospital, Royal Oak, Michigan, USA.

Timothy Allen (T)

Department of Hematology and Oncology, Corewell Health - William Beaumont University Hospital, Royal Oak, Michigan, USA.

Ishmael Jaiyesimi (I)

Department of Hematology and Oncology, Corewell Health - William Beaumont University Hospital, Royal Oak, Michigan, USA.

Classifications MeSH