Immunotherapy for advanced lung cancer combined with surgery for mediastinal myxofibrosarcoma: a case report

Abstract Background It is unclear whether simultaneous primary neoplasm resection and immunotherapy for advanced lung cancer is safe. We report a case of an elderly man with advanced lung cancer and myxofibrosarcoma. Case presentation The advanced lung cancer was treated with pembrolizumab, and part...

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Main Authors: Tetsuya Fukui, Yusuke Wakatsuki, Tadashi Matsukura
Format: Article
Language:English
Published: Japan Surgical Society 2019-02-01
Series:Surgical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40792-019-0596-7
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author Tetsuya Fukui
Yusuke Wakatsuki
Tadashi Matsukura
author_facet Tetsuya Fukui
Yusuke Wakatsuki
Tadashi Matsukura
author_sort Tetsuya Fukui
collection DOAJ
description Abstract Background It is unclear whether simultaneous primary neoplasm resection and immunotherapy for advanced lung cancer is safe. We report a case of an elderly man with advanced lung cancer and myxofibrosarcoma. Case presentation The advanced lung cancer was treated with pembrolizumab, and partial response was achieved in 3 months. However, the mediastinal cyst enlarged rapidly. We resected the mediastinal tumor and diagnosed it as myxofibrosarcoma. The postoperative course was uneventful. Immunotherapy was resumed after the operation without any adverse effects. No recurrence of mediastinal sarcoma or progression of lung cancer was found until the patient died in an accident 8 months after surgery. Conclusion Surgery for mediastinal sarcoma could be performed safely in combination with immunotherapy for advanced lung cancer.
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spelling doaj-art-302b0cb63f5e4ac7a9feb5a65a15bb8d2025-07-02T05:28:51ZengJapan Surgical SocietySurgical Case Reports2198-77932019-02-01511310.1186/s40792-019-0596-7Immunotherapy for advanced lung cancer combined with surgery for mediastinal myxofibrosarcoma: a case reportTetsuya Fukui0Yusuke Wakatsuki1Tadashi Matsukura2Department of General Thoracic Surgery, Japanese Red Cross Fukui HospitalDepartment of General Thoracic Surgery, Japanese Red Cross Fukui HospitalDepartment of General Thoracic Surgery, Japanese Red Cross Fukui HospitalAbstract Background It is unclear whether simultaneous primary neoplasm resection and immunotherapy for advanced lung cancer is safe. We report a case of an elderly man with advanced lung cancer and myxofibrosarcoma. Case presentation The advanced lung cancer was treated with pembrolizumab, and partial response was achieved in 3 months. However, the mediastinal cyst enlarged rapidly. We resected the mediastinal tumor and diagnosed it as myxofibrosarcoma. The postoperative course was uneventful. Immunotherapy was resumed after the operation without any adverse effects. No recurrence of mediastinal sarcoma or progression of lung cancer was found until the patient died in an accident 8 months after surgery. Conclusion Surgery for mediastinal sarcoma could be performed safely in combination with immunotherapy for advanced lung cancer.http://link.springer.com/article/10.1186/s40792-019-0596-7Mediastinal myxofibrosarcomaSurgical resectionLung cancerImmunotherapy
spellingShingle Tetsuya Fukui
Yusuke Wakatsuki
Tadashi Matsukura
Immunotherapy for advanced lung cancer combined with surgery for mediastinal myxofibrosarcoma: a case report
Surgical Case Reports
Mediastinal myxofibrosarcoma
Surgical resection
Lung cancer
Immunotherapy
title Immunotherapy for advanced lung cancer combined with surgery for mediastinal myxofibrosarcoma: a case report
title_full Immunotherapy for advanced lung cancer combined with surgery for mediastinal myxofibrosarcoma: a case report
title_fullStr Immunotherapy for advanced lung cancer combined with surgery for mediastinal myxofibrosarcoma: a case report
title_full_unstemmed Immunotherapy for advanced lung cancer combined with surgery for mediastinal myxofibrosarcoma: a case report
title_short Immunotherapy for advanced lung cancer combined with surgery for mediastinal myxofibrosarcoma: a case report
title_sort immunotherapy for advanced lung cancer combined with surgery for mediastinal myxofibrosarcoma a case report
topic Mediastinal myxofibrosarcoma
Surgical resection
Lung cancer
Immunotherapy
url http://link.springer.com/article/10.1186/s40792-019-0596-7
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AT tadashimatsukura immunotherapyforadvancedlungcancercombinedwithsurgeryformediastinalmyxofibrosarcomaacasereport