Everolimus in combination with octreotide LAR in thymic atypical carcinoid

Author:

Sakane Tadashi1ORCID,Nakano Tomoharu1,Hagui Emi1,Haneda Hiroshi1,Okuda Katsuhiro2ORCID

Affiliation:

1. Department of Thoracic Surgery Nagoya City University West Medical Center 1‐1‐1 Hirate‐cho, Kita‐ku Nagoya 462‐8508 Japan

2. Department of Thoracic and Pediatric Surgery Nagoya City University Graduate School of Medical Sciences 1 Kawasumi, Mizuho‐cho, Mizuho‐ku Nagoya 467‐8601 Japan

Abstract

AbstractThymic atypical carcinoids are extremely rare tumors and have a poor prognosis owing to their aggressive clinical course. The efficacy of treatments other than complete surgical resection is unclear. We herein report a postoperative recurrent case of thymic atypical carcinoid treated with everolimus and octreotide long‐acting repeatable (LAR). A 75‐year‐old woman was admitted to our department because a nodule was detected in the right lobe of thymus by annual computed tomography. The patient underwent thymothymectomy, and a diagnosis of thymic atypical carcinoid was made. One year and seven months after surgery, she developed multiple metastases in the lung, hilar and mediastinal lymph nodes, liver, and bone. Everolimus 10 mg/day was administered; however, the dose had to be reduced to 5 mg/day due to grade 3 hyperglycemia and grade 3 interstitial lung disease. Metastatic lesions other than liver metastasis markedly responded to everolimus, although the liver metastases gradually progressed. Three years and six months after surgery, she was administered octreotide LAR 30 mg per month in combination with everolimus. She has maintained stable disease for 8 months after the application of this combination therapy.

Publisher

Wiley

Subject

Pulmonary and Respiratory Medicine,Oncology,General Medicine

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