Department of Respiratory Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Thorac Cancer. 2018 Aug;9(8):1078-1081. doi: 10.1111/1759-7714.12778. Epub 2018 Jun 4.
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.
肺癌脊髓硬膜外髓内转移罕见,但由于严重的临床症状和预后不良,仍是灾难性事件。在此,我们报告一例 ALK 重排的肺癌患者,在对克唑替尼耐药后发生脑、软脑膜和脊髓硬膜外髓内转移。接受塞瑞替尼治疗后,其临床症状改善,磁共振成像显示硬膜外病变缩小。