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Positive response of a recurrent clear cell sarcoma to anlotinib combined with chemotherapy: A case report
Junyue Tao1, Hao Yang1, Zongyao Hao1
1Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, People's Republic of China.
Rationale:
Renal clear cell sarcoma is a rare and highly invasive malignant renal tumor that easily relapses after treatment. Recurrent recurrent clear cell carcinoma (CCSK) responds poorly to chemotherapy and has no established standardized treatment, and need to be explored potentially useful treatments.
Patient Concerns:
A 18-years-old patient with renal clear cell sarcoma recurrence after open radical nephrectomy.
Diagnosis:
Recurrent clear cell sarcoma.
Interventions:
After chemotherapy alone failed, the patient received 6 courses of anlotinib combined with chemotherapy. The tumor had significantly reduced in size and the recurrent tumor and part of the liver were resected.
Outcomes:
No tumor recurrence or metastasis was detected during the follow-up 8 months after the operation.
Lessons:
This is the first report describing the use of anlotinib in treating CCSK. We believe that anlotinib combined with chemotherapy may be a useful treatment option for patients with recurrent CCSK.
Insights
This case study shows anlotinib combined with chemotherapy may effectively treat recurrent clear cell sarcoma (CCSK) after initial chemotherapy failure. The patient experienced significant tumor reduction and remained recurrence-free for 8 months post-surgery.
Area of Science:
- Oncology
- Medical Research
Background:
- Renal clear cell sarcoma (CCSK) is a rare, aggressive kidney cancer with high recurrence rates.
- Recurrent CCSK has limited treatment options and poor response to conventional chemotherapy.
Observation:
- An 18-year-old patient presented with recurrent clear cell sarcoma after radical nephrectomy.
- Initial chemotherapy proved ineffective for the recurrent tumor.
Findings:
- The patient received six cycles of anlotinib plus chemotherapy, leading to significant tumor shrinkage.
- Surgical resection of the residual tumor and affected liver portion was performed.
Implications:
- This is the first report of anlotinib use in recurrent CCSK.
- Anlotinib combined with chemotherapy presents a potential novel treatment strategy for recurrent CCSK.
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