Rapidly Progressive Lung Sarcomatoid Carcinoma Managed with Doxorubicin Plus Ifosfamide and Pemetrexed

Pulmonary sarcomatoid carcinoma (PSC) is a rare subtype of nonsmall-cell lung cancer (NSCLC). It carries a poor prognosis, even among other subtypes of NSCLC. Currently, most treatment strategies for PSC are derived from regimens aimed at managing soft tissue sarcomas or NSCLC. The use of doxorubicin plus ifosfamide and pemetrexed has been well established in the management of soft tissue carcinoma and other nonsmall-cell lung cancers, respectively. We report the case of a 69-year-old male diagnosed with PSC who was managed with doxorubicin plus ifosfamide and pemetrexed therapy. Our patient initially responded to the therapy but had rapid progression and died 8 months after the initiation of treatment. Upon genetic analysis, it was revealed the patient had overexpression of the MDM2 protein, which has been associated with poor response to therapy. This case highlights the need for a personalized treatment approach, as well as the need for a standardized treatment regimen for managing PSC.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Rapidly Progressive Lung Sarcomatoid Carcinoma Managed with Doxorubicin Plus Ifosfamide and Pemetrexed ; volume:14 ; number:3 ; year:2021 ; pages:1677-1681 ; extent:5
Case reports in oncology ; 14, Heft 3 (2021), 1677-1681 (gesamt 5)

Creator
Paredes Mogica, Jan Alberto
Reyes Sanchez, Eduardo
Zaragoza Morales, Daniela Arantza
Pierre-Louis Guillen, Nathalie
Magallanes Maciel, Manuel Ernesto

DOI
10.1159/000520190
URN
urn:nbn:de:101:1-2022011223370792398698
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:22 AM CEST

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Associated

  • Paredes Mogica, Jan Alberto
  • Reyes Sanchez, Eduardo
  • Zaragoza Morales, Daniela Arantza
  • Pierre-Louis Guillen, Nathalie
  • Magallanes Maciel, Manuel Ernesto

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