Cardiothoracic Surgery, Hospital and University Centre of Coimbra, Coimbra, Portugal
Pulmology, Hospital and University Center of Coimbra, Coimbra, Portugal.
BMJ Case Rep. 2023 Dec 7;16(12):e256097. doi: 10.1136/bcr-2023-256097.
The management of patients with oligometastatic non-small cell lung cancer has undergone significant improvement in recent years. The combination of increase in sensitivity of diagnostic tests, development in systemic therapies, surgical techniques and radiotherapy allowing radical ablative treatment of metastases have significantly influenced the treatment of advanced lung cancer, mainly in the patients in which these treatment modalities converge.We report a rare case of a young patient with an oligometastatic lung adenocarcinoma with a single synchronous brain metastasis, who underwent aggressive locoregional and systemic therapies and is still in annual follow-up with excellent quality of life and progression-free survival of 164 months.
近年来,寡转移非小细胞肺癌患者的治疗管理取得了显著进展。诊断检测敏感性的提高、系统治疗的发展、手术技术和放射治疗的进步,使得转移灶的根治性消融治疗成为可能,这对晚期肺癌的治疗产生了重大影响,特别是对那些可以采用这些治疗方式的患者。我们报告了一例罕见的寡转移肺腺癌伴单一同步脑转移的年轻患者,该患者接受了积极的局部和全身治疗,至今仍在每年进行随访,生活质量良好,无进展生存期为 164 个月。