Rapid Sarcomatoid Transformation of Lung Squamous Cell Carcinoma After Neoadjuvant Therapy: A Case Report
Autor: | Feng Yin, Juwairiya Arshi, Madeline Sauer |
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Rok vydání: | 2020 |
Předmět: |
Male
Cancer Research Pathology medicine.medical_specialty Lung Neoplasms medicine.medical_treatment Vimentin 03 medical and health sciences 0302 clinical medicine Carcinoma Non-Small-Cell Lung Biopsy Medicine Humans Sarcomatoid carcinoma Neoadjuvant therapy Aged Chemotherapy Lung biology medicine.diagnostic_test business.industry Lung squamous cell carcinoma Clinical course General Medicine medicine.disease Neoadjuvant Therapy medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis biology.protein Carcinoma Squamous Cell business |
Zdroj: | Anticancer research. 40(3) |
ISSN: | 1791-7530 |
Popis: | Pulmonary sarcomatoid carcinoma is a rare variant of non-small cell lung cancer. Here, we report on the case of a 67-year-old male with a diagnosis of biopsy-proven moderately differentiated squamous cell carcinoma of the left lower lobe of the lung. The tumor cells on biopsy had epithelioid morphology with strong immunoreactivity for CK7 and p40. The mass was surgically removed one year later due to its poor response to stereotactic radiotherapy and chemotherapy. The lobectomy specimen revealed pleomorphic mitotically active spindle cell neoplasm with scattered foci of epithelial component. The tumor cells showed diffuse immunopositivity for vimentin, as well as focal immunoreactivity for CK7, p40 and S100 in the epithelial component. To the best of our knowledge, this is the first documented case of histopathologic sarcomatoid transformation of lung squamous cell carcinoma after neoadjuvant therapy. The clinical course, diagnosis and a review of literature are presented. |
Databáze: | OpenAIRE |
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