Skip to main content
Top
Published in: Diagnostic Pathology 1/2020

Open Access 01-12-2020 | Computed Tomography | Case Report

Orbital involvement by NUT midline carcinoma: new presentation and encouraging outcome managed by radiotherapy combined with tyrosine kinase inhibitor: a case report

Authors: Peiwei Chai, Chuandi Zhou, Renbing Jia, Yefei Wang

Published in: Diagnostic Pathology | Issue 1/2020

Login to get access

Abstract

Background

NUT midline carcinoma (NMC) is a poorly differentiated squamous cancer with a median survival at less than 7 months. NMC is resistant to conventional chemotherapies and characterized by rearrangement of the NUT gene.

Case presentation

Here, we described a patient who initially presented with epiphora, and an orbit involved NMC. In addition, we for the first time demonstrated that local radiotherapy combined with tyrosine kinase inhibitor (TKI) could significantly inhibit tumor progression in orbital involvement by NMC.

Conclusions

Our study for the first time described an orbit involved NMC patient initially presented with epiphora. In addition, we provided an alternative to the management of orbit involved NMC.
Literature
1.
go back to reference Chau NG, Hurwitz S, Mitchell CM, et al. Intensive treatment and survival outcomes in NUT midline carcinoma of the head and neck. Cancer. 2016;122:3632–40.CrossRef Chau NG, Hurwitz S, Mitchell CM, et al. Intensive treatment and survival outcomes in NUT midline carcinoma of the head and neck. Cancer. 2016;122:3632–40.CrossRef
2.
3.
go back to reference Beesley AH, Stirnweiss A, Ferrari E, et al. Comparative drug screening in NUT midline carcinoma. Br J Cancer. 2014;110:1189–98.CrossRef Beesley AH, Stirnweiss A, Ferrari E, et al. Comparative drug screening in NUT midline carcinoma. Br J Cancer. 2014;110:1189–98.CrossRef
4.
go back to reference Bauer DE, Mitchell CM, Strait KM, et al. Clinicopathologic features and long-term outcomes of NUT midline carcinoma. Clin Cancer Res. 2012;18:5773–9.CrossRef Bauer DE, Mitchell CM, Strait KM, et al. Clinicopathologic features and long-term outcomes of NUT midline carcinoma. Clin Cancer Res. 2012;18:5773–9.CrossRef
5.
go back to reference Wang R, Cao XJ, Kulej K, et al. Uncovering BRD4 hyperphosphorylation associated with cellular transformation in NUT midline carcinoma. Proc Natl Acad Sci U S A. 2017;114:E5352–61.CrossRef Wang R, Cao XJ, Kulej K, et al. Uncovering BRD4 hyperphosphorylation associated with cellular transformation in NUT midline carcinoma. Proc Natl Acad Sci U S A. 2017;114:E5352–61.CrossRef
6.
go back to reference D’Souza JN, Notz G, Bogdasarian RN, et al. Orbital involvement by NUT midline carcinoma. Ophthalmic Plast Reconstr Surg. 2015;31:e147–50.CrossRef D’Souza JN, Notz G, Bogdasarian RN, et al. Orbital involvement by NUT midline carcinoma. Ophthalmic Plast Reconstr Surg. 2015;31:e147–50.CrossRef
7.
go back to reference Bragelmann J, Dammert MA, Dietlein F, et al. Systematic kinase inhibitor profiling identifies CDK9 as a synthetic lethal target in NUT midline carcinoma. Cell Rep. 2017;20:2833–45.CrossRef Bragelmann J, Dammert MA, Dietlein F, et al. Systematic kinase inhibitor profiling identifies CDK9 as a synthetic lethal target in NUT midline carcinoma. Cell Rep. 2017;20:2833–45.CrossRef
8.
go back to reference Gokmen-Polar Y, Kesler K, Loehrer PJ Sr, et al. NUT midline carcinoma masquerading as a Thymic carcinoma. J Clin Oncol. 2016;34:e126–9.CrossRef Gokmen-Polar Y, Kesler K, Loehrer PJ Sr, et al. NUT midline carcinoma masquerading as a Thymic carcinoma. J Clin Oncol. 2016;34:e126–9.CrossRef
9.
go back to reference Teo M, Crotty P, O'Sullivan M, et al. NUT midline carcinoma in a young woman. J Clin Oncol. 2011;29:e336–9.CrossRef Teo M, Crotty P, O'Sullivan M, et al. NUT midline carcinoma in a young woman. J Clin Oncol. 2011;29:e336–9.CrossRef
10.
go back to reference Lewin J, Soria JC, Stathis A, et al. Phase Ib trial with Birabresib, a small-molecule inhibitor of Bromodomain and Extraterminal proteins, in patients with selected advanced solid tumors. J Clin Oncol. 2018;36:3007–14.CrossRef Lewin J, Soria JC, Stathis A, et al. Phase Ib trial with Birabresib, a small-molecule inhibitor of Bromodomain and Extraterminal proteins, in patients with selected advanced solid tumors. J Clin Oncol. 2018;36:3007–14.CrossRef
11.
go back to reference Revach OY, Sandler O, Samuels Y, et al. Cross-talk between receptor tyrosine kinases AXL and ERBB3 regulates Invadopodia formation in melanoma cells. Cancer Res. 2019;79:2634–48.CrossRef Revach OY, Sandler O, Samuels Y, et al. Cross-talk between receptor tyrosine kinases AXL and ERBB3 regulates Invadopodia formation in melanoma cells. Cancer Res. 2019;79:2634–48.CrossRef
12.
go back to reference Leopold AV, Chernov KG, Shemetov AA, et al. Neurotrophin receptor tyrosine kinases regulated with near-infrared light. Nat Commun. 2019;10:1129.CrossRef Leopold AV, Chernov KG, Shemetov AA, et al. Neurotrophin receptor tyrosine kinases regulated with near-infrared light. Nat Commun. 2019;10:1129.CrossRef
13.
go back to reference Wahl DR, Lawrence TS. No sugar added: a new strategy to inhibit Glioblastoma receptor tyrosine kinases. Clin Cancer Res. 2019;25:455–6.CrossRef Wahl DR, Lawrence TS. No sugar added: a new strategy to inhibit Glioblastoma receptor tyrosine kinases. Clin Cancer Res. 2019;25:455–6.CrossRef
14.
go back to reference Chen XZ. Anlotinib for refractory advanced non-small cell lung Cancer in China. JAMA Oncol. 2019;5:116–7.CrossRef Chen XZ. Anlotinib for refractory advanced non-small cell lung Cancer in China. JAMA Oncol. 2019;5:116–7.CrossRef
15.
go back to reference Han B, Li K, Wang Q, et al. Effect of Anlotinib as a third-line or further treatment on overall survival of patients with advanced non-small cell lung Cancer: the ALTER 0303 phase 3 randomized clinical trial. JAMA Oncol. 2018;4:1569–75.CrossRef Han B, Li K, Wang Q, et al. Effect of Anlotinib as a third-line or further treatment on overall survival of patients with advanced non-small cell lung Cancer: the ALTER 0303 phase 3 randomized clinical trial. JAMA Oncol. 2018;4:1569–75.CrossRef
Metadata
Title
Orbital involvement by NUT midline carcinoma: new presentation and encouraging outcome managed by radiotherapy combined with tyrosine kinase inhibitor: a case report
Authors
Peiwei Chai
Chuandi Zhou
Renbing Jia
Yefei Wang
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Diagnostic Pathology / Issue 1/2020
Electronic ISSN: 1746-1596
DOI
https://doi.org/10.1186/s13000-019-0922-1

Other articles of this Issue 1/2020

Diagnostic Pathology 1/2020 Go to the issue