ALK-rearranged lung cancer with intradural extramedullary spinal cord metastases responding to ceritinib treatment: A case report

Thorac Cancer. 2018 Aug;9(8):1078-1081. doi: 10.1111/1759-7714.12778. Epub 2018 Jun 4.

Abstract

Intradural extramedullary spinal cord metastases in lung cancer are rarely reported, but are a disastrous event because of severe clinical symptoms and poor prognosis. Herein, we report a case of a lung cancer patient with ALK rearrangement who experienced brain, leptomeningeal, and intradural extramedullary spinal cord metastases after developing resistance to crizotinib. After ceritinib therapy, his clinical symptoms improved and magnetic resonance imaging revealed that the intradural extramedullary lesions had reduced.

Keywords: ALK rearrangement; ceritinib; intradural extramedullary spinal cord metastases; leptomeningeal metastases; lung adenocarcinoma.

Publication types

  • Case Reports

MeSH terms

  • Anaplastic Lymphoma Kinase / genetics*
  • China
  • Humans
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / genetics
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Pyrimidines / administration & dosage*
  • Pyrimidines / therapeutic use
  • Spinal Cord Neoplasms / diagnostic imaging
  • Spinal Cord Neoplasms / drug therapy*
  • Spinal Cord Neoplasms / genetics
  • Spinal Cord Neoplasms / secondary*
  • Sulfones / administration & dosage*
  • Sulfones / therapeutic use
  • Translocation, Genetic
  • Treatment Outcome

Substances

  • Pyrimidines
  • Sulfones
  • ALK protein, human
  • Anaplastic Lymphoma Kinase
  • ceritinib