A case of recurrent histiocytic sarcoma with MAP2K1 pathogenic variant treated with the MEK inhibitor trametinib

Tadashi Kumamoto, Yuki Aoki, Tomoko Sonoda, Miho Yamanishi, Ayumu Arakawa, Masanaka Sugiyama, Nami Shirakawa, Sae Ishimaru, Yoshimasa Saito, Akiko Maeshima, Miho Maeda, Chitose Ogawa

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Histiocytic sarcoma in advanced clinical stages is typically an aggressive neoplasm, with poor response to conventional chemotherapy. An 18-year-old male with refractory histiocytic sarcoma that had transformed from Rosai–Dorfman disease was admitted to our hospital. A pathogenic variant of MAP2K1 was detected by next-generation sequencing of tumor specimens. Affected regions showed excellent responses to the MEK inhibitor trametinib. It has been reported that RAS/MEK/ERK pathway is activated in many cases of histiocytic sarcoma. MEK inhibition may represent a useful treatment option in histiocytic sarcoma.

Original languageEnglish
Pages (from-to)228-232
Number of pages5
JournalInternational Journal of Hematology
Volume109
Issue number2
DOIs
Publication statusPublished - 20 Feb 2019
Externally publishedYes

Keywords

  • Histiocytic sarcoma
  • MAP2K1
  • MEK inhibitor
  • Rosai–Dorfman disease
  • Trametinib

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