Spontaneous bilateral chylothorax development during alectinib therapy for ALK-rearranged NSCLC—A case report Journal Article


Authors: Bajaj, S.; Chow, A.; Drilon, A.; Kalchiem-Dekel, O.
Article Title: Spontaneous bilateral chylothorax development during alectinib therapy for ALK-rearranged NSCLC—A case report
Abstract: The emergence of spontaneous nonmalignant chylous effusions during treatment with various tyrosine kinase inhibitors (TKIs) has been previously described; however, there have been no prior reports for alectinib. Herein, we report a case of symptomatic bilateral chylothorax during alectinib therapy in a patient with ALK-rearranged lung adenocarcinoma. Although immediate control of symptoms was achieved by placement of bilateral tunneled pleural catheters, the chylothorax ultimately resolved only after alectinib discontinuation and transition to an alternative TKI. This case adds alectinib to the growing list of TKIs that may be associated with the rare emergence of spontaneous, nonmalignant chylous effusions. © 2023 The Authors
Keywords: case report; lung adenocarcinoma; chylothorax; alectinib
Journal Title: JTO Clinical and Research Reports
Volume: 4
Issue: 12
ISSN: 2666-3643
Publisher: Elsevier BV  
Date Published: 2023-12-01
Start Page: 100606
Language: English
DOI: 10.1016/j.jtocrr.2023.100606
PROVIDER: scopus
PMCID: PMC10755351
PUBMED: 38162174
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF. Corresponding MSK author is Alexander Drilon -- Source: Scopus
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  1. Alexander Edward Drilon
    633 Drilon
  2. Andrew Chow
    45 Chow