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Thitvirachawat, Sasipim

A5117393469 | I108108428

Mayo Clinic

Thammasat University

Citations 2

Durable Response to Everolimus in Metastatic Hepatic Epithelioid Cell Tumor With TSC2 and NF2 Mutations

Asian Medical Journal and Alternative Medicine | April 10, 2026 | Volume: 26 | Issue: 1 | Pages: 52-55

10.70933/2773-9465.2106

We report a case of a 63-year-old male with metastatic hepatic PEComa harboring TSC2 and NF2 mutations who achieved a durable partial response to everolimus with only mild adverse effects. This case highlights the value of genomic profiling and the efficacy of mTOR inhibitors in hepatic PEComa management.
Rapid Response, Unexpected Risk: A ROS1-Positive Non-Small Cell Lung Cancer (NSCLC) Case with Lazarus Syndrome and Fatal Thrombosis

Asian Medical Journal and Alternative Medicine | April 10, 2026 | Volume: 26 | Issue: 1 | Pages: 56-59

10.70933/2773-9465.1331

A 57-year-old woman with a ROS1-rearranged NSCLC patient demonstrated a Lazarus response to crizotinib but later developed recurrent pulmonary embolism (PE) with right ventricular (RV) failure. This incident highlights the potential crizotinib-related thrombotic risk and the need for appropriate monitoring of vascular complications, particularly in limited-option settings such as Thailand.