Multiple Oligometastatic Recurrences in a Patient with Non-Small Cell Lung Cancer Múltiplas Recidivas Oligometastáticas em Doente com Tumor de Pulmão Não-Pequenas Células

Abstract

Surgical stages of non-small cell lung carcinoma represent only about 20% of all cases. However, 50% of these patients will relapse after surgery, with metastatic disease and dismal prognosis.
In some cases, the pattern of relapse is oligometastatic – a limited number of lesions (1-5) on a single organ (oligoprogressive if there is a short interval after surgery).
With aggressive local treatment, long survivals have been documented in these patients, suggesting a particular biology. The authors present the case of a young woman with multiple oligoprogressive relapse of a primary pulmonary adenocarcinoma, (breast, skin and central nervous system) two, 12 and 27 months after curative lung surgery, treated locally with surgery and gamma knife, with a long survival and keeping clinically asymptomatic.

Received: 09/05/2017 - Accepted: 31/08/2017