RET-mutated recurrent leiomyosarcoma treated with cabozantinib: a case report

We present the case of a 68-year-old man with a recurrence of a high-grade leiomyosarcoma with metastatic disease. Despite initial treatment with liposomal doxorubicin, disease progression was observed after three cycles. A molecular study revealed an activating mutation of the RET gene, and treatme...

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Main Authors: Carlos E. Salazar-Mejía, Javier A. Martínez-Moyano, Hugo E. Solis-Lara, Eduardo J. Cantú-Casas, Frida Valle-Domínguez, Valeria S. Narvaez-Gonzalez, Oscar Vidal-Gutiérrez, David Hernández-Barajas
Format: Article
Language:English
Published: Permanyer 2023-07-01
Series:Medicina Universitaria
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Online Access:https://www.medicinauniversitaria.org/frame_eng.php?id=223
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author Carlos E. Salazar-Mejía
Javier A. Martínez-Moyano
Hugo E. Solis-Lara
Eduardo J. Cantú-Casas
Frida Valle-Domínguez
Valeria S. Narvaez-Gonzalez
Oscar Vidal-Gutiérrez
David Hernández-Barajas
author_facet Carlos E. Salazar-Mejía
Javier A. Martínez-Moyano
Hugo E. Solis-Lara
Eduardo J. Cantú-Casas
Frida Valle-Domínguez
Valeria S. Narvaez-Gonzalez
Oscar Vidal-Gutiérrez
David Hernández-Barajas
author_sort Carlos E. Salazar-Mejía
collection DOAJ
description We present the case of a 68-year-old man with a recurrence of a high-grade leiomyosarcoma with metastatic disease. Despite initial treatment with liposomal doxorubicin, disease progression was observed after three cycles. A molecular study revealed an activating mutation of the RET gene, and treatment with cabozantinib was started at a dose of 60 mg daily. Five months later, the patient had a partial metabolic response. However, disease progression was documented two months later, and treatment was suspended. This case highlights the clinical activity of cabozantinib as monotherapy after failure of first-line chemotherapy in recurrent high-grade leiomyosarcoma with RET gene mutation.
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spelling doaj.art-11bbbb42643b4f31b241d64efb9343a42023-12-07T21:05:26ZengPermanyerMedicina Universitaria1665-57962530-07092023-07-0125310.24875/RMU.23000021RET-mutated recurrent leiomyosarcoma treated with cabozantinib: a case reportCarlos E. Salazar-Mejía0Javier A. Martínez-Moyano1Hugo E. Solis-Lara2Eduardo J. Cantú-Casas3Frida Valle-Domínguez4Valeria S. Narvaez-Gonzalez5Oscar Vidal-Gutiérrez6David Hernández-Barajas7Oncology Service, Centro Universitario Contra el Cáncer, “Dr. José Eleuterio González” University Hospital and School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoOncology Service, Centro Universitario Contra el Cáncer, “Dr. José Eleuterio González” University Hospital and School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoDepartment of Radiology, Centro Universitario de Imagen Diagnóstica, “Dr. José Eleuterio González” University Hospital and School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoDepartment of Radiology, Doctors Hospital East, Guadalupe, Nuevo León, MéxicoOncology Service, Centro Universitario Contra el Cáncer, “Dr. José Eleuterio González” University Hospital and School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoOncology Service, Centro Universitario Contra el Cáncer, “Dr. José Eleuterio González” University Hospital and School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoOncology Service, Centro Universitario Contra el Cáncer, “Dr. José Eleuterio González” University Hospital and School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoOncology Service, Centro Universitario Contra el Cáncer, “Dr. José Eleuterio González” University Hospital and School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoWe present the case of a 68-year-old man with a recurrence of a high-grade leiomyosarcoma with metastatic disease. Despite initial treatment with liposomal doxorubicin, disease progression was observed after three cycles. A molecular study revealed an activating mutation of the RET gene, and treatment with cabozantinib was started at a dose of 60 mg daily. Five months later, the patient had a partial metabolic response. However, disease progression was documented two months later, and treatment was suspended. This case highlights the clinical activity of cabozantinib as monotherapy after failure of first-line chemotherapy in recurrent high-grade leiomyosarcoma with RET gene mutation. https://www.medicinauniversitaria.org/frame_eng.php?id=223Leiomyosarcoma. Metastatic. Recurrent. RET mutation. Cabozantinib. Case report.
spellingShingle Carlos E. Salazar-Mejía
Javier A. Martínez-Moyano
Hugo E. Solis-Lara
Eduardo J. Cantú-Casas
Frida Valle-Domínguez
Valeria S. Narvaez-Gonzalez
Oscar Vidal-Gutiérrez
David Hernández-Barajas
RET-mutated recurrent leiomyosarcoma treated with cabozantinib: a case report
Medicina Universitaria
Leiomyosarcoma. Metastatic. Recurrent. RET mutation. Cabozantinib. Case report.
title RET-mutated recurrent leiomyosarcoma treated with cabozantinib: a case report
title_full RET-mutated recurrent leiomyosarcoma treated with cabozantinib: a case report
title_fullStr RET-mutated recurrent leiomyosarcoma treated with cabozantinib: a case report
title_full_unstemmed RET-mutated recurrent leiomyosarcoma treated with cabozantinib: a case report
title_short RET-mutated recurrent leiomyosarcoma treated with cabozantinib: a case report
title_sort ret mutated recurrent leiomyosarcoma treated with cabozantinib a case report
topic Leiomyosarcoma. Metastatic. Recurrent. RET mutation. Cabozantinib. Case report.
url https://www.medicinauniversitaria.org/frame_eng.php?id=223
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