PMID- 20137082 OWN - NLM STAT- MEDLINE DCOM- 20100518 LR - 20211020 IS - 1477-7819 (Electronic) IS - 1477-7819 (Linking) VI - 8 DP - 2010 Feb 5 TI - Pathological complete response induced by first-line chemotherapy with single agent docetaxel in a patient with advanced non small cell lung cancer. PG - 8 LID - 10.1186/1477-7819-8-8 [doi] AB - BACKGROUND: Defining the optimal treatment for patients with inoperable non small cell lung cancer (NSCLC), presenting with metastatic mediastinal lymph nodes, is challenging. Nevertheless, preoperative chemotherapy or radiotherapy might offer a chance for these patients for radical surgical resection and, possibly, complete recovery. CASE PRESENTATION: A 62-year old man with IIIA-N2 inoperable NSCLC was treated with first-line single agent docetaxel. A platinum-based treatment, though considered more active, was ruled out because of renal impairment. The patient tolerated the treatment very well and, although his initial response was not impressive, after 14 cycles he obtained a complete clinical response, which was confirmed pathologically after he underwent surgical lobectomy. CONCLUSION: In non-operable NSCLC patients not eligible for a platinum-based treatment, single-agent docetaxel can provide complete pathologic responses. Failure to obtain a response after the first few cycles should not automatically discourage to continue treatment. FAU - Riccardi, Ferdinando AU - Riccardi F AD - UOC Oncologia, Ospedale Cardarelli, Napoli, Italy. nando.riccardi@alice.it FAU - Di Lorenzo, Giuseppe AU - Di Lorenzo G FAU - Buonerba, Carlo AU - Buonerba C FAU - Monaco, Guglielmo AU - Monaco G FAU - Monaco, Roberto AU - Monaco R FAU - Rizzo, Mimma AU - Rizzo M FAU - Scagliarini, Sarah AU - Scagliarini S FAU - Scognamiglio, Florinda AU - Scognamiglio F FAU - Di Napoli, Marilena AU - Di Napoli M FAU - Carteni', Giacomo AU - Carteni' G LA - eng PT - Case Reports PT - Journal Article DEP - 20100205 PL - England TA - World J Surg Oncol JT - World journal of surgical oncology JID - 101170544 RN - 0 (Antineoplastic Agents) RN - 0 (Taxoids) RN - 15H5577CQD (Docetaxel) SB - IM MH - Antineoplastic Agents/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/pathology/surgery MH - Combined Modality Therapy MH - Docetaxel MH - Humans MH - Lung Neoplasms/*drug therapy/pathology/surgery MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Pneumonectomy MH - Remission Induction MH - Taxoids/*therapeutic use MH - Treatment Outcome PMC - PMC2825189 EDAT- 2010/02/09 06:00 MHDA- 2010/05/19 06:00 PMCR- 2010/02/05 CRDT- 2010/02/09 06:00 PHST- 2009/11/12 00:00 [received] PHST- 2010/02/05 00:00 [accepted] PHST- 2010/02/09 06:00 [entrez] PHST- 2010/02/09 06:00 [pubmed] PHST- 2010/05/19 06:00 [medline] PHST- 2010/02/05 00:00 [pmc-release] AID - 1477-7819-8-8 [pii] AID - 10.1186/1477-7819-8-8 [doi] PST - epublish SO - World J Surg Oncol. 2010 Feb 5;8:8. doi: 10.1186/1477-7819-8-8.