nab-Paclitaxel in Combination with Carboplatin for a Previously Treated Thymic Carcinoma

We present the case of a 40-year-old man with previously treated thymic carcinoma, complaining of gradually worsening back pain. Computed tomography scans of the chest showed multiple pleural disseminated nodules with a pleural effusion in the right thorax. The patient was treated with carboplatin o...

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Main Authors: Go Makimoto, Keiichi Fujiwara, Hiromi Watanabe, Nobuhisa Kameyama, Mizuho Matsushita, Kammei Rai, Ken Sato, Toshiro Yonei, Toshio Sato, Takuo Shibayama
Format: Article
Language:English
Published: Karger Publishers 2014-01-01
Series:Case Reports in Oncology
Subjects:
Online Access:http://www.karger.com/Article/FullText/357938
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author Go Makimoto
Keiichi Fujiwara
Hiromi Watanabe
Nobuhisa Kameyama
Mizuho Matsushita
Kammei Rai
Ken Sato
Toshiro Yonei
Toshio Sato
Takuo Shibayama
author_facet Go Makimoto
Keiichi Fujiwara
Hiromi Watanabe
Nobuhisa Kameyama
Mizuho Matsushita
Kammei Rai
Ken Sato
Toshiro Yonei
Toshio Sato
Takuo Shibayama
author_sort Go Makimoto
collection DOAJ
description We present the case of a 40-year-old man with previously treated thymic carcinoma, complaining of gradually worsening back pain. Computed tomography scans of the chest showed multiple pleural disseminated nodules with a pleural effusion in the right thorax. The patient was treated with carboplatin on day 1 plus nab-paclitaxel on day 1 and 8 in cycles repeated every 4 weeks. Objective tumor shrinkage was observed after 4 cycles of this regimen. In addition, the elevated serum cytokeratin 19 fragment level decreased, and the patient's back pain was relieved without any analgesics. Although he experienced grade 4 neutropenia and granulocyte colony-stimulating factor (G-CSF) injection, the severity of thrombocytopenia and nonhematological toxicities such as reversible neuropathy did not exceed grade 1 during the treatment. To our knowledge, this is the first report to demonstrate the efficacy of combination chemotherapy consisting of carboplatin and nab-paclitaxel against thymic carcinoma. This case report suggests that nab-paclitaxel in combination with carboplatin can be a favorable chemotherapy regimen for advanced thymic carcinoma.
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spelling doaj.art-30f53d9a89f542cf8e22197758a41a782022-12-22T03:49:43ZengKarger PublishersCase Reports in Oncology1662-65752014-01-0171141710.1159/000357938357938nab-Paclitaxel in Combination with Carboplatin for a Previously Treated Thymic CarcinomaGo MakimotoKeiichi FujiwaraHiromi WatanabeNobuhisa KameyamaMizuho MatsushitaKammei RaiKen SatoToshiro YoneiToshio SatoTakuo ShibayamaWe present the case of a 40-year-old man with previously treated thymic carcinoma, complaining of gradually worsening back pain. Computed tomography scans of the chest showed multiple pleural disseminated nodules with a pleural effusion in the right thorax. The patient was treated with carboplatin on day 1 plus nab-paclitaxel on day 1 and 8 in cycles repeated every 4 weeks. Objective tumor shrinkage was observed after 4 cycles of this regimen. In addition, the elevated serum cytokeratin 19 fragment level decreased, and the patient's back pain was relieved without any analgesics. Although he experienced grade 4 neutropenia and granulocyte colony-stimulating factor (G-CSF) injection, the severity of thrombocytopenia and nonhematological toxicities such as reversible neuropathy did not exceed grade 1 during the treatment. To our knowledge, this is the first report to demonstrate the efficacy of combination chemotherapy consisting of carboplatin and nab-paclitaxel against thymic carcinoma. This case report suggests that nab-paclitaxel in combination with carboplatin can be a favorable chemotherapy regimen for advanced thymic carcinoma.http://www.karger.com/Article/FullText/357938Thymic carcinomanab-PaclitaxelCarboplatinChemotherapy
spellingShingle Go Makimoto
Keiichi Fujiwara
Hiromi Watanabe
Nobuhisa Kameyama
Mizuho Matsushita
Kammei Rai
Ken Sato
Toshiro Yonei
Toshio Sato
Takuo Shibayama
nab-Paclitaxel in Combination with Carboplatin for a Previously Treated Thymic Carcinoma
Case Reports in Oncology
Thymic carcinoma
nab-Paclitaxel
Carboplatin
Chemotherapy
title nab-Paclitaxel in Combination with Carboplatin for a Previously Treated Thymic Carcinoma
title_full nab-Paclitaxel in Combination with Carboplatin for a Previously Treated Thymic Carcinoma
title_fullStr nab-Paclitaxel in Combination with Carboplatin for a Previously Treated Thymic Carcinoma
title_full_unstemmed nab-Paclitaxel in Combination with Carboplatin for a Previously Treated Thymic Carcinoma
title_short nab-Paclitaxel in Combination with Carboplatin for a Previously Treated Thymic Carcinoma
title_sort nab paclitaxel in combination with carboplatin for a previously treated thymic carcinoma
topic Thymic carcinoma
nab-Paclitaxel
Carboplatin
Chemotherapy
url http://www.karger.com/Article/FullText/357938
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