Anlotinib is effective in the treatment of advanced carcinoma ex pleomorphic adenoma of the submandibular gland.

Abstract:

:Background: Carcinoma ex pleomorphic adenoma (CXPA), a very rare malignancy found mostly in the major salivary glands, has no established standardized treatment. Case presentation: This report describes a 67-year-old male with advanced CXPA who was effectively treated by anlotinib. Pleomorphic adenoma of the submandibular gland was first diagnosed in 1976 after a surgical resection of a mass underneath the jaw. The patient underwent re-excision 3 years later due to a recurrent pleomorphic adenoma. CXPA was first diagnosed in 2016 after a surgical removal of the left submandibular mass. A lung nodule was found on a chest CT scan in January 2018. Following a CT-guided lung biopsy that demonstrated findings consistent with pulmonary metastasis, the patient underwent local therapy (microwave ablation and radioactive seed implantation) but suffered a recurrence of disease approximately 6 months later. Anlotinib was administered orally at a dose of 12 mg daily on a 2 weeks on/1 week off schedule. A partial response was observed after two cycles of treatment. The disease remains in continued partial response after completion of his sixth cycle. Conclusion: This is the first report for anlotinib in treating CXPA. Further pre-clinical and clinical studies are needed to validate the efficacy and safety of anlotinib in the treatment of CXPA.

journal_name

Onco Targets Ther

journal_title

OncoTargets and therapy

authors

Song S,Sui P,Li M,Zhang L,Sun D

doi

10.2147/OTT.S200324

subject

Has Abstract

pub_date

2019-05-24 00:00:00

pages

4093-4097

issn

1178-6930

pii

200324

journal_volume

12

pub_type

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    pub_type:

    doi:10.2147/OTT.S223727

    authors: Cheng L,Jiao Q,Jin Y,Fu H,Zhang H,Chen L

    更新日期:2019-12-02 00:00:00

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    pub_type: 杂志文章

    doi:10.2147/OTT.S93305

    authors: Sun J,Guo Y,Fu X,Wang Y,Liu Y,Huo B,Sheng J,Hu X

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    pub_type: 杂志文章

    doi:10.2147/OTT.S187315

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    更新日期:2018-12-11 00:00:00