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Published in: Journal of Orthopaedic Science 5/2015

01-09-2015 | Case Report

Reossification of osteolytic metastases at the acetabulum following gefitinib and multidisciplinary treatment for lung cancer: a case report with autopsy findings

Authors: Yasuzumi Kishimoto, Toshiki Iwase, Toshiaki Yano, Hiroki Mori

Published in: Journal of Orthopaedic Science | Issue 5/2015

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Excerpt

Patients with bone metastases often suffer from skeletal-related events (SREs), which result in increased pain, impaired mobility, and a reduced quality of life (QoL). Some previous studies have shown that gefitinib treatment leads to a reduction in osteolytic metastases, as determined by radiological examinations and the level of pain experienced on movement [1, 2]. However, to the best of our knowledge, no pathological analysis of the reduction of an osteolytic lesion has previously been reported. Here we present the case of a woman with osteolytic metastasis in the acetabulum who reacquired pain-free mobility after gefitinib and multidisciplinary treatment for lung adenocarcinoma harboring epidermal growth factor receptor (EGFR) mutation. Very early osteosclerotic change in the acetabular osteolytic lesion was identified on radiological examination, and its reossification was apparent upon pathological analysis. …
Literature
1.
go back to reference Zukawa M, Nakano M, Hirano N, Mizuhashi K, Kanamori M. The effectiveness of gefitinib on spinal metastases of lung cancer—report of two cases. Asian Spine J. 2008;2:109–13.PubMedCentralCrossRefPubMed Zukawa M, Nakano M, Hirano N, Mizuhashi K, Kanamori M. The effectiveness of gefitinib on spinal metastases of lung cancer—report of two cases. Asian Spine J. 2008;2:109–13.PubMedCentralCrossRefPubMed
2.
go back to reference Yamashita Y, Aoki T, Hanagiri T, Yoshii C, Mukae H, Uramoto H, Korogi Y. Osteosclerotic lesions in patients treated with gefitinib for lung adenocarcinomas: a sign of favorable therapeutic response. Skelet Radiol. 2012;41:409–14.CrossRef Yamashita Y, Aoki T, Hanagiri T, Yoshii C, Mukae H, Uramoto H, Korogi Y. Osteosclerotic lesions in patients treated with gefitinib for lung adenocarcinomas: a sign of favorable therapeutic response. Skelet Radiol. 2012;41:409–14.CrossRef
3.
go back to reference Kijima T, Fujii Y, Suyama T, Okubo Y, Yonese J, Fukui I. Lung and bone metastases from renal cell carcinoma responsive to bisphosphonates: a case report. Int J Urol. 2008;15:546–7.CrossRefPubMed Kijima T, Fujii Y, Suyama T, Okubo Y, Yonese J, Fukui I. Lung and bone metastases from renal cell carcinoma responsive to bisphosphonates: a case report. Int J Urol. 2008;15:546–7.CrossRefPubMed
4.
go back to reference Osanai T, Tsuchiya T, Ogino T, Nakahara K. Long-term prevention of skeletal complications by pamidronate in a patient with bone metastasis from endometrial carcinoma: a case report. Gynecol Oncol. 2006;100:195–7.CrossRefPubMed Osanai T, Tsuchiya T, Ogino T, Nakahara K. Long-term prevention of skeletal complications by pamidronate in a patient with bone metastasis from endometrial carcinoma: a case report. Gynecol Oncol. 2006;100:195–7.CrossRefPubMed
5.
go back to reference Normanno N, De Luca, Aldinucci D, Maiello MR, Mancino M, D’Antonio A, De Filippi R, Pinto A. Gefitinib inhibits the ability of human bone marrow stromal cells to reduce osteoclast differentiation; implications for the pathologenesis and treatment of bone metastasis. Endocr Ralat Cancer. 2005;12:471–82.CrossRef Normanno N, De Luca, Aldinucci D, Maiello MR, Mancino M, D’Antonio A, De Filippi R, Pinto A. Gefitinib inhibits the ability of human bone marrow stromal cells to reduce osteoclast differentiation; implications for the pathologenesis and treatment of bone metastasis. Endocr Ralat Cancer. 2005;12:471–82.CrossRef
6.
go back to reference Normanno N, Gullick WJ. Epidermal growth factor receptor tyrosine kinase inhibitors and bone metastases: different mechanisms of action for a novel therapeutic application? Endocr Relat Cancer. 2006;13:3–6.CrossRefPubMed Normanno N, Gullick WJ. Epidermal growth factor receptor tyrosine kinase inhibitors and bone metastases: different mechanisms of action for a novel therapeutic application? Endocr Relat Cancer. 2006;13:3–6.CrossRefPubMed
7.
go back to reference Mitsudomi T, Yatabe Y. Mutations of the epidermal growth factor receptor gene and related genes as determinants of epidermal growth factor receptor tyrosine kinase inhibitors sensitivity in lung cancer. Cancer sci. 2007;98:1817–24.CrossRefPubMed Mitsudomi T, Yatabe Y. Mutations of the epidermal growth factor receptor gene and related genes as determinants of epidermal growth factor receptor tyrosine kinase inhibitors sensitivity in lung cancer. Cancer sci. 2007;98:1817–24.CrossRefPubMed
8.
go back to reference Clézardin P, Fournier P, Boissier S, Peyruchaud O. In vitro and in vivo antitumor effects of bisphosphonates. Curr Med Chem. 2003;10:173–80.CrossRefPubMed Clézardin P, Fournier P, Boissier S, Peyruchaud O. In vitro and in vivo antitumor effects of bisphosphonates. Curr Med Chem. 2003;10:173–80.CrossRefPubMed
9.
go back to reference Koto K, Horie N, Kimura S, Murata H, Sakabe T, Matsui T, Watanabe M, Adachi S, Maekawa T, Fushiki S, Kubo T. Clinically relevant dose of zoledronic acid inhibits spontaneous lung metastasis in a murine osteosarcoma model. Cancer Lett. 2009;274:271–8.CrossRefPubMed Koto K, Horie N, Kimura S, Murata H, Sakabe T, Matsui T, Watanabe M, Adachi S, Maekawa T, Fushiki S, Kubo T. Clinically relevant dose of zoledronic acid inhibits spontaneous lung metastasis in a murine osteosarcoma model. Cancer Lett. 2009;274:271–8.CrossRefPubMed
10.
go back to reference Koto K, Murata H, Kimura S, Horie N, Matsui T, Nishigaki Y, Ryu K, Sakabe T, Ashihara E, Maekawa T, Fushiki S, Kubo T. Zoledronic acid inhibits proliferation of human fibrosarcoma cells with induction of apoptosis, and shows combined effects with other anticancer agents. Oncol Rep. 2010;24:233–9.PubMed Koto K, Murata H, Kimura S, Horie N, Matsui T, Nishigaki Y, Ryu K, Sakabe T, Ashihara E, Maekawa T, Fushiki S, Kubo T. Zoledronic acid inhibits proliferation of human fibrosarcoma cells with induction of apoptosis, and shows combined effects with other anticancer agents. Oncol Rep. 2010;24:233–9.PubMed
11.
go back to reference Krempien R, Huber PE, Harms W, Treiber M, Wannenmacher M, Krempien B. Combination of early bisphosphonate administration and irradiation leads to improved remineralization and restabilization of osteolytic bone metastases in an animal tumor model. Cancer. 2003;98:1318–24.CrossRefPubMed Krempien R, Huber PE, Harms W, Treiber M, Wannenmacher M, Krempien B. Combination of early bisphosphonate administration and irradiation leads to improved remineralization and restabilization of osteolytic bone metastases in an animal tumor model. Cancer. 2003;98:1318–24.CrossRefPubMed
12.
go back to reference Kijima T, Fujii Y, Suyama T, Okubo Y, Yamamoto S, Masuda H, Yonese J, Fukui I. Radiotherapy to bone metastases from renal cell carcinoma with or without zoledronate. BJU Int. 2009;103:620–4.CrossRefPubMed Kijima T, Fujii Y, Suyama T, Okubo Y, Yamamoto S, Masuda H, Yonese J, Fukui I. Radiotherapy to bone metastases from renal cell carcinoma with or without zoledronate. BJU Int. 2009;103:620–4.CrossRefPubMed
13.
go back to reference Ricciardi S, de Marinis F. Treatment of bone metastases in lung cancer: the actual role of zoledronic acid. Rev Recent Clin Trials. 2009;4:205–11.CrossRefPubMed Ricciardi S, de Marinis F. Treatment of bone metastases in lung cancer: the actual role of zoledronic acid. Rev Recent Clin Trials. 2009;4:205–11.CrossRefPubMed
14.
go back to reference Moore KL, Persaud TVN, Torchia MG. Skeletal system. The developing human. 9th ed. Philadelphia: Elsevier; 2013. p. 343–61. Moore KL, Persaud TVN, Torchia MG. Skeletal system. The developing human. 9th ed. Philadelphia: Elsevier; 2013. p. 343–61.
15.
go back to reference Kierszenbaum AL, Tres LL. Oeteogenesis. Histology and Cell Biology: an introduction to Pathology. 3rd ed. Philadelphia: Elsevier; 2012. p. 151–68.CrossRef Kierszenbaum AL, Tres LL. Oeteogenesis. Histology and Cell Biology: an introduction to Pathology. 3rd ed. Philadelphia: Elsevier; 2012. p. 151–68.CrossRef
Metadata
Title
Reossification of osteolytic metastases at the acetabulum following gefitinib and multidisciplinary treatment for lung cancer: a case report with autopsy findings
Authors
Yasuzumi Kishimoto
Toshiki Iwase
Toshiaki Yano
Hiroki Mori
Publication date
01-09-2015
Publisher
Springer Japan
Published in
Journal of Orthopaedic Science / Issue 5/2015
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-014-0562-y

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