Sustained complete response on crizotinib in primary lung inflammatory myofibroblastic tumor - Case report and literature review

https://doi.org/10.4081/monaldi.2021.1586

Authors

  • Abhenil Mittal Department of Medical Oncology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India. https://orcid.org/0000-0003-0402-1573
  • Aarushi Gupta Department of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
  • Ekta Dhamija Department of Radiodiagnosis, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
  • Adarsh Barwad Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
  • Sameer Rastogi | samdoc_mamc@yahoo.com Department of Medical Oncology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India. https://orcid.org/0000-0003-4792-3083

Abstract

Inflammatory myofibroblastic tumors (IMT) are rare soft tissue tumors of intermediate malignant potential occurring usually in children and adolescents. Treatment options for advanced diseases are limited. A 35-year-old lady presented to us with fever, cough and decreased appetite. On evaluation, she was diagnosed with left lung IMT. She underwent surgery and developed recurrence with pleural nodules after two years. Immunohistochemistry showed positivity for ALK (diffuse). Since recent evidence suggested that crizotinib is effective in advanced IMT with 50% response rates, she was treated with crizotinib 250mg BD with which she had a complete radiological response at three months. She has completed one year of treatment thus far and continues to be in complete remission. Treatment with ALK inhibitors like crizotinib has brought about a paradigm shift in the management of advanced ALK-positive IMT’s with excellent clinical responses which are durable in a majority of cases.

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References

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Published
2021-03-31
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Pneumology - Case Reports
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How to Cite
Mittal, Abhenil, Aarushi Gupta, Ekta Dhamija, Adarsh Barwad, and Sameer Rastogi. 2021. “Sustained Complete Response on Crizotinib in Primary Lung Inflammatory Myofibroblastic Tumor - Case Report and Literature Review”. Monaldi Archives for Chest Disease, March. https://doi.org/10.4081/monaldi.2021.1586.