Open AccessA rare case of squamous cell carcinoma lung with multiple locoregional recurrences and histological transformation
Author(s) -
Ram Niwas,
Shibdas Chakrabarti,
Viswesvaran Balasubramanian,
M. K. Sen,
Jagdish Chander Suri
Publication year - 2018
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/lungindia.lungindia_221_17
Subject(s) - medicine , adenosquamous carcinoma , chemoradiotherapy , chemotherapy , radiation therapy , nivolumab , carcinoma , pneumonectomy , oncology , lung , lung cancer , adenocarcinoma , cancer , immunotherapy
A 52-year-old female nonsmoker with localized squamous cell carcinoma (T3N1M0) of lung underwent lobectomy with adjuvant chemotherapy. Two years later, the patient had her first locoregional recurrence with adenosquamous cell carcinoma, and pneumonectomy with adjuvant chemotherapy rendered her disease free. Subsequent isolated locoregional recurrence with squamous cell carcinoma 18 months later was treated with chemoradiotherapy and had a complete response. Patient yet again had locoregional recurrence after 4 years and had progressive disease despite subsequent multiple line of treatment with platinum-based chemotherapy, stereotactic body radiation therapy, and nivolumab. This case is unique in presentation due to prolonged survival with multiple line of treatment of recurrent locoregional tumor without distant metastasis and alteration in the histology of tumor during illness.