[A Case of Five Years Recurrence-Free Survival after Successful Multidisciplinary Treatment for Simultaneous Brain Metastasis and Heterochronic Small Intestinal Metastasis from Lung Cancer]

Gan To Kagaku Ryoho. 2024 Apr;51(4):439-441.
[Article in Japanese]

Abstract

The patient was a 54-year-old male at the time of initial examination. He was aware of numbness and weakness in the left hemisphere of his body and came to see the hospital. He was diagnosed with brain metastasis of lung cancer and started treatment(cT2N0M1[Brain]). He underwent gamma knife for the head lesion and nivolumab for the lung lesion. The patient's lesions shrank with the success of the medical treatment, but recurred with small intestinal metastasis. He underwent a partial resection of the small intestine and was treated again with nivolumab, which resulted in a complete response. He is currently alive without recurrence. We have experienced a very rare case of recurrence-free survival after treatment for brain metastasis and small intestinal metastasis of lung cancer.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Antineoplastic Agents, Immunological / therapeutic use
  • Brain Neoplasms* / secondary
  • Brain Neoplasms* / therapy
  • Combined Modality Therapy
  • Humans
  • Intestinal Neoplasms* / pathology
  • Intestinal Neoplasms* / secondary
  • Intestinal Neoplasms* / surgery
  • Intestinal Neoplasms* / therapy
  • Intestine, Small / pathology
  • Lung Neoplasms* / pathology
  • Lung Neoplasms* / secondary
  • Lung Neoplasms* / therapy
  • Male
  • Middle Aged
  • Nivolumab / therapeutic use
  • Radiosurgery
  • Recurrence
  • Time Factors

Substances

  • Nivolumab
  • Antineoplastic Agents, Immunological