KL-6 Mucin as Serum Tumor Marker of Metastatic Renal Cancer: A Case Report

We encountered a case of metastatic renal cell carcinoma in which the serum level of KL-6, a therapeutic marker, was exceptionally high and fluctuated with the progression of treatment. A 74-year-old man was diagnosed with right renal cystic cancer and multiple metastases in October 2022. The KL-6 l...

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Main Authors: Kyohei Ishida, Go Hasegawa, Toshinori Takada, Akira Ogose, Gen Kawaguchi, Yohei Ikeda, Hiroki Nishiyama, Noboru Hara, Tsutomu Nishiyama
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2024/6648459
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author Kyohei Ishida
Go Hasegawa
Toshinori Takada
Akira Ogose
Gen Kawaguchi
Yohei Ikeda
Hiroki Nishiyama
Noboru Hara
Tsutomu Nishiyama
author_facet Kyohei Ishida
Go Hasegawa
Toshinori Takada
Akira Ogose
Gen Kawaguchi
Yohei Ikeda
Hiroki Nishiyama
Noboru Hara
Tsutomu Nishiyama
author_sort Kyohei Ishida
collection DOAJ
description We encountered a case of metastatic renal cell carcinoma in which the serum level of KL-6, a therapeutic marker, was exceptionally high and fluctuated with the progression of treatment. A 74-year-old man was diagnosed with right renal cystic cancer and multiple metastases in October 2022. The KL-6 level was 27490 U/mL. He started treatment with lenvatinib and pembrolizumab. KL-6 decreased to 3885 U/mg in February 2023. The patient’s proteinuria worsened, leading to the discontinuation of lenvatinib. KL-6 increased to 25950 U/mL in April. He discontinued pembrolizumab and started taking cabozantinib. In September, drug-induced bilateral inflammatory pneumonitis developed. He discontinued cabozantinb and began taking axitinib. KL-6 decreased; however, he suffered from severe diarrhea and subsequent renal insufficiency. He discontinued axitinib in November. KL-6 increased to 29640 U/mL in December.
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institution Kabale University
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language English
publishDate 2024-01-01
publisher Wiley
record_format Article
series Case Reports in Urology
spelling doaj-art-7fd0cb3292044d61b2b9773212febe162025-02-02T23:11:11ZengWileyCase Reports in Urology2090-69782024-01-01202410.1155/2024/6648459KL-6 Mucin as Serum Tumor Marker of Metastatic Renal Cancer: A Case ReportKyohei Ishida0Go Hasegawa1Toshinori Takada2Akira Ogose3Gen Kawaguchi4Yohei Ikeda5Hiroki Nishiyama6Noboru Hara7Tsutomu Nishiyama8Department of UrologyDepartment of PathologyDepartment of Respiratory MedicineDepartment of Orthopedic SurgeryDepartment of Radiation OncologyDepartment of Diagnostic RadiologyDepartment of UrologyDepartment of UrologyDepartment of UrologyWe encountered a case of metastatic renal cell carcinoma in which the serum level of KL-6, a therapeutic marker, was exceptionally high and fluctuated with the progression of treatment. A 74-year-old man was diagnosed with right renal cystic cancer and multiple metastases in October 2022. The KL-6 level was 27490 U/mL. He started treatment with lenvatinib and pembrolizumab. KL-6 decreased to 3885 U/mg in February 2023. The patient’s proteinuria worsened, leading to the discontinuation of lenvatinib. KL-6 increased to 25950 U/mL in April. He discontinued pembrolizumab and started taking cabozantinib. In September, drug-induced bilateral inflammatory pneumonitis developed. He discontinued cabozantinb and began taking axitinib. KL-6 decreased; however, he suffered from severe diarrhea and subsequent renal insufficiency. He discontinued axitinib in November. KL-6 increased to 29640 U/mL in December.http://dx.doi.org/10.1155/2024/6648459
spellingShingle Kyohei Ishida
Go Hasegawa
Toshinori Takada
Akira Ogose
Gen Kawaguchi
Yohei Ikeda
Hiroki Nishiyama
Noboru Hara
Tsutomu Nishiyama
KL-6 Mucin as Serum Tumor Marker of Metastatic Renal Cancer: A Case Report
Case Reports in Urology
title KL-6 Mucin as Serum Tumor Marker of Metastatic Renal Cancer: A Case Report
title_full KL-6 Mucin as Serum Tumor Marker of Metastatic Renal Cancer: A Case Report
title_fullStr KL-6 Mucin as Serum Tumor Marker of Metastatic Renal Cancer: A Case Report
title_full_unstemmed KL-6 Mucin as Serum Tumor Marker of Metastatic Renal Cancer: A Case Report
title_short KL-6 Mucin as Serum Tumor Marker of Metastatic Renal Cancer: A Case Report
title_sort kl 6 mucin as serum tumor marker of metastatic renal cancer a case report
url http://dx.doi.org/10.1155/2024/6648459
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