A Case of NUT Midline Carcinoma of the Lung

  • Kato Ryo
    Department of Respiratory Medicine, Kanazawa Medical University
  • Oikawa Taku
    Department of Respiratory Medicine, Kanazawa Medical University
  • Mizuno Shiro
    Department of Respiratory Medicine, Kanazawa Medical University
  • Osanai Kazuhiro
    Department of Respiratory Medicine, Kanazawa Medical University
  • Toga Hirohisa
    Department of Respiratory Medicine, Kanazawa Medical University
  • Minato Hiroshi
    Department of Clinical Pathology, Kanazawa Medical University

Bibliographic Information

Other Title
  • 肺原発NUT midline carcinomaの1例

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Description

Background. Nuclear protein of the testis (NUT) midline carcinoma (NMC) is a malignant epithelial tumor that is defined by the rearrangement of the NUT gene on chromosome 15q14. Tumors with NUT gene rearrangement have recently been recognized as NMC. The name is based on their location: they occur on the physical midline organs. The therapeutic approaches for NMC have not yet been established due to the rarity of the disease, and the tumor is known to be associated with a poor prognosis. Case. A 32-year-old man was admitted to our hospital with dyspnea and in a state of shock due to the presence of a huge mass and pleural effusion in the left lung. A thoracoscopic biopsy of the pleura led to a diagnosis of NMC with translocation of the t(15;19) gene and the BRD4-NUT fusion gene. The tumor rapidly increased in size, despite the provision of a combination chemotherapy regimen that consisted of carboplatin and paclitaxel. The patient died due to NMC, two months after the diagnosis. Conclusion. We experienced a case of NMC of the lung that was resistant to combination chemotherapy. NMC should be considered in cases that show anaplastic carcinoma when an immunohistochemical analysis reveals poorly defined characteristics.

Journal

  • Haigan

    Haigan 55 (7), 1080-1085, 2015

    The Japan Lung Cancer Society

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