Advanced Pediatric Inoperable Thymus Carcinoma (Type C Thymoma): Case Report on a Novel Therapeutic Approach

Although there has been considerable advancement in treatment techniques but still there are some illnesses that continue to exhibit a rather poor curability, such as thymoma. This report highlights the benefit of octreotide and prednisolone therapy in a 15-year-old girl, who was diagnosed with inoperable thymus carcinoma, with chemotherapy and radiotherapy being the last resort. The detection of type 2 somatostatin receptors on the surface of the tumor justified the introduction of treatment with somatostatin analog and prednisolone. Fortunately, after 6 months of this treatment, the tumor showed partial regression. However, 2 months later, somatostatin receptor negative metastases appeared; therefore, a switch over to imatinib became essential, because the tumor was CD-117 positive. Despite the therapy change, the patient's condition deteriorated owing to tumor progression.

[1]  M. Inoue,et al.  Thymic carcinoma. Clinical institutional experience with 15 patients. , 2004, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[2]  D. Ettinger,et al.  Octreotide alone or with prednisone in patients with advanced thymoma and thymic carcinoma: an Eastern Cooperative Oncology Group Phase II Trial. , 2004, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[3]  D. Di Vizio,et al.  Somatostatin analogs and prednisone in advanced refractory thymic tumors , 2002, Cancer.

[4]  C. Angeletti,et al.  The multimodality treatment of thymic carcinoma. , 2001, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[5]  F. Askin,et al.  Clinical and pathologic predictors of survival in patients with thymoma. , 1999, Annals of surgery.

[6]  M. Salvatore,et al.  Successful treatment of a patient with a thymoma and pure red-cell aplasia with octreotide and prednisone. , 1997, The New England journal of medicine.

[7]  R. Carlson,et al.  Successful treatment of metastatic thymic carcinoma with cisplatin, vinblastine, bleomycin, and etoposide chemotherapy , 1990, Cancer.

[8]  P. Fuller,et al.  Somatostatin gene expression in the thymus gland. , 1989, Journal of immunology.

[9]  H. Müller-Hermelink,et al.  Thymoma and thymic carcinoma , 2004, Virchows Archiv A.