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Published in: Journal of Cancer Research and Clinical Oncology 12/2021

Open Access 01-12-2021 | NSCLC | Letter to the Editor

Crizotinib: aseptic abscesses in multiple organs during treatment of EML4-ALK-positive NSCLC

Authors: Daniel Weber, Miriam Decker, Michael Schuster, Sara Folz, Carsten Johannes Stürmer, Manfred P. Lutz

Published in: Journal of Cancer Research and Clinical Oncology | Issue 12/2021

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Abstract

Purpose

We report a novel side effect of Crizotinib, an oral ALK inhibitor used in the treatment of non-small cell lung cancer (NSCLC) with activating rearrangement of EML4-ALK. It expands the known spectrum of complications of Crizotinib.

Methods

Clinical case report.

Results

Multiple aseptic and recurrent abscesses were observed in the liver, thoracic wall as well as in both kidneys in a 75-year-old female patient suffering from NSCLC who had been treated with Crizotinib for almost 2 years. After discontinuation of the treatment the abscesses dissolved spontaneously and did not reoccur.

Conclusion

Aseptic abscesses under treatment with Crizotinib are not restricted to the kidneys as described before, but can also occur in other abdominal organs as the liver and even in the thoracic wall. We postulate that this finding may point to a yet unknown not tissue-dependent mechanism of action.
Literature
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Metadata
Title
Crizotinib: aseptic abscesses in multiple organs during treatment of EML4-ALK-positive NSCLC
Authors
Daniel Weber
Miriam Decker
Michael Schuster
Sara Folz
Carsten Johannes Stürmer
Manfred P. Lutz
Publication date
01-12-2021
Publisher
Springer Berlin Heidelberg
Published in
Journal of Cancer Research and Clinical Oncology / Issue 12/2021
Print ISSN: 0171-5216
Electronic ISSN: 1432-1335
DOI
https://doi.org/10.1007/s00432-021-03664-w

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