Multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation: a case report

Abstract Background Brain is one of the most common target organ of lung cancer metastasis, while descriptions of intraventricular carcinomatosis could hardly be found among previous cases. To date no cases from lung adenocarcinoma have been reported in the literature. Case presentation We report he...

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Main Authors: Chen Kong, Dan Zhou, Ning Wu, Chong Bai
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12890-020-1168-0
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author Chen Kong
Dan Zhou
Ning Wu
Chong Bai
author_facet Chen Kong
Dan Zhou
Ning Wu
Chong Bai
author_sort Chen Kong
collection DOAJ
description Abstract Background Brain is one of the most common target organ of lung cancer metastasis, while descriptions of intraventricular carcinomatosis could hardly be found among previous cases. To date no cases from lung adenocarcinoma have been reported in the literature. Case presentation We report here a case of multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation. This 64-year-old woman was referred to our hospital with complaints of dizziness and vomiting. Target therapy with afatinib was initiated and the lesions in both lung and brain achieved good partial responses. Conclusions This case report revealed a phenomenon of rare intraventricular metastasis from lung cancer, which should be carefully distinguished from primary ventricular tumors. Compared to brain parenchyma metastasis, intraventricular lesions would cause more severe symptoms which may be rapidly progressive. Target therapy could become a potential option in such patients with non-drugresistant EGFR mutations.
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spelling doaj.art-821a247b789a45bf8b062a3c5495c57d2022-12-21T19:57:03ZengBMCBMC Pulmonary Medicine1471-24662020-05-012011410.1186/s12890-020-1168-0Multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation: a case reportChen Kong0Dan Zhou1Ning Wu2Chong Bai3Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical UniversityDepartment of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical UniversityDepartment of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical UniversityDepartment of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical UniversityAbstract Background Brain is one of the most common target organ of lung cancer metastasis, while descriptions of intraventricular carcinomatosis could hardly be found among previous cases. To date no cases from lung adenocarcinoma have been reported in the literature. Case presentation We report here a case of multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation. This 64-year-old woman was referred to our hospital with complaints of dizziness and vomiting. Target therapy with afatinib was initiated and the lesions in both lung and brain achieved good partial responses. Conclusions This case report revealed a phenomenon of rare intraventricular metastasis from lung cancer, which should be carefully distinguished from primary ventricular tumors. Compared to brain parenchyma metastasis, intraventricular lesions would cause more severe symptoms which may be rapidly progressive. Target therapy could become a potential option in such patients with non-drugresistant EGFR mutations.http://link.springer.com/article/10.1186/s12890-020-1168-0Case reportIntraventricular metastasesLung adenocarcinomaTyrosine kinase inhibitor
spellingShingle Chen Kong
Dan Zhou
Ning Wu
Chong Bai
Multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation: a case report
BMC Pulmonary Medicine
Case report
Intraventricular metastases
Lung adenocarcinoma
Tyrosine kinase inhibitor
title Multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation: a case report
title_full Multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation: a case report
title_fullStr Multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation: a case report
title_full_unstemmed Multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation: a case report
title_short Multiple intraventricular metastases from lung adenocarcinoma with EGFR G719X mutation: a case report
title_sort multiple intraventricular metastases from lung adenocarcinoma with egfr g719x mutation a case report
topic Case report
Intraventricular metastases
Lung adenocarcinoma
Tyrosine kinase inhibitor
url http://link.springer.com/article/10.1186/s12890-020-1168-0
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