Bou Zerdan Maroun, Hamouche Ramzi, Bouferraa Youssef, Chouairy Camil, Gholam Dany
Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY, USA.
Yale-Waterbury Internal Medicine Residency Program, Waterbury, CT, USA.
SAGE Open Med Case Rep. 2022 Jun 24;10:2050313X221106987. doi: 10.1177/2050313X221106987. eCollection 2022.
Malignancies with unknown primaries contribute to a small yet significant percentage of overall tumors. Neuroendocrine carcinomas, a rare disease with a poor prognosis, have been known to present as an unknown primary. Treatment consists of cytotoxic chemotherapy but given the latter's high toxicity profile new treatment options are being explored. In this case report, we describe a case of a patient with poorly differentiated neuroendocrine carcinoma of unknown primary treated with compassionate oral everolimus after his refusal of intravenous chemotherapy.
原发灶不明的恶性肿瘤在全部肿瘤中所占比例虽小但意义重大。神经内分泌癌是一种预后较差的罕见疾病,已知可表现为原发灶不明。治疗方法包括细胞毒性化疗,但鉴于后者毒性较高,人们正在探索新的治疗选择。在本病例报告中,我们描述了一例原发灶不明的低分化神经内分泌癌患者,在其拒绝静脉化疗后,接受了同情用药口服依维莫司治疗。