{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T05:48:12Z","timestamp":1782193692016,"version":"3.54.5"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lung cancer remains a leading cause of cancer mortality globally. Spinal cord metastases (SCMs) signify an advanced disease stage with a particularly dire prognosis, primarily due to severe neurological deficits and subsequent life-threatening complications. While modern systemic therapies can control tumor growth, they often inadequately address the critical issue of neurological recovery, which may be the key determinant of ultimate survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 47-years-old female with ALK-positive lung adenocarcinoma developed multiple SCMs. Following post-SCM systemic therapy, tumor burden decreased but limb strength deteriorated. Adjunctive acupuncture then led to improved muscle strength and quality of life. Overall survival from SCM diagnosis was over 9 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights neurological recovery as a key goal in SCMs. Integrating acupuncture with standard therapy shows promise for improving function and outcomes, warranting further study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1815886","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T05:27:03Z","timestamp":1782192423000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrated therapy including acupuncture in a patient with long-term survival from spinal cord metastases of ALK-positive lung adenocarcinoma: a case 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