Open Access

Long‑term disease control of metastatic type 2 papillary renal cell carcinoma using local treatment and molecular targeted therapy: A case report

  • Authors:
    • Yuichi Arai
    • Yosuke Kitamura
    • Kosuke Miyai
    • Mina Hatanaka
    • Hirofumi Hashimoto
    • Akio Horiguchi
    • Keiichi Ito
  • View Affiliations

  • Published online on: February 12, 2021     https://doi.org/10.3892/mco.2021.2233
  • Article Number: 71
  • Copyright: © Arai et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

A 46‑year‑old man underwent right partial nephrectomy for type 2 papillary renal cell carcinoma (PRCC) in 2011. Lung metastasis and lymph node (LN) metastases around the inferior vena cave appeared in 2012. A right radical nephrectomy and extensive LN dissection was performed and the resection of lung metastasis was performed one month after the nephrectomy. Mediastinal LN metastases occurred in 2013, and resection of the affected LNs was performed. Sunitinib and zoledronic acid was started in 2014 because mediastinal LN swelling and multiple bone metastases appeared. Sunitinib treatment was stopped soon after due to adverse events and axitinib treatment was started. Axitinib was effective and the patient had stable disease for 30 months. Adverse events were successfully controlled by dose reduction and periodic drug withdrawal schedules (for example, 5 days on, 2 days off). Axitinib was further continued for 19 months as the metastatic lesions had progressed slowly. Temsirolimus treatment was started in 2019, but it was stopped after three cycles due to interstitial pneumonia. The patient died 80 months after the initial recurrence. Using multidisciplinary treatment, durable disease control was achieved in a patient with metastatic type 2 PRCC.
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April-2021
Volume 14 Issue 4

Print ISSN: 2049-9450
Online ISSN:2049-9469

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Spandidos Publications style
Arai Y, Kitamura Y, Miyai K, Hatanaka M, Hashimoto H, Horiguchi A and Ito K: Long‑term disease control of metastatic type 2 papillary renal cell carcinoma using local treatment and molecular targeted therapy: A case report. Mol Clin Oncol 14: 71, 2021
APA
Arai, Y., Kitamura, Y., Miyai, K., Hatanaka, M., Hashimoto, H., Horiguchi, A., & Ito, K. (2021). Long‑term disease control of metastatic type 2 papillary renal cell carcinoma using local treatment and molecular targeted therapy: A case report. Molecular and Clinical Oncology, 14, 71. https://doi.org/10.3892/mco.2021.2233
MLA
Arai, Y., Kitamura, Y., Miyai, K., Hatanaka, M., Hashimoto, H., Horiguchi, A., Ito, K."Long‑term disease control of metastatic type 2 papillary renal cell carcinoma using local treatment and molecular targeted therapy: A case report". Molecular and Clinical Oncology 14.4 (2021): 71.
Chicago
Arai, Y., Kitamura, Y., Miyai, K., Hatanaka, M., Hashimoto, H., Horiguchi, A., Ito, K."Long‑term disease control of metastatic type 2 papillary renal cell carcinoma using local treatment and molecular targeted therapy: A case report". Molecular and Clinical Oncology 14, no. 4 (2021): 71. https://doi.org/10.3892/mco.2021.2233