Retreatment with erlotinib of a patient with metastatic NSCLC harboring EGFR mutation: a case report

Erlotinib is an epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor used for the treatment of advanced stage non-small cell lung cancer (NSCLC). Clinical trials have shown high efficacy of erlotinib, particularly in patients harboring activating mutations in the EGFR gene. Here we desc...

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Veröffentlicht in:Tumori 2014-05, Vol.100 (3), p.e70-e73
Hauptverfasser: Fiala, Ondrej, Pesek, Milos, Finek, Jindrich, Krakorova, Gabriela, Benesova, Lucie, Minarik, Marek
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container_start_page e70
container_title Tumori
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creator Fiala, Ondrej
Pesek, Milos
Finek, Jindrich
Krakorova, Gabriela
Benesova, Lucie
Minarik, Marek
description Erlotinib is an epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor used for the treatment of advanced stage non-small cell lung cancer (NSCLC). Clinical trials have shown high efficacy of erlotinib, particularly in patients harboring activating mutations in the EGFR gene. Here we describe the case of a 42-year-old female light smoker diagnosed with EGFR mutation-positive adenocarcinoma of the left lung with pleural metastases, pleural effusion and metastases to the thoracic vertebrae (stage IV, T4NXM1). Although the patient developed resistance to erlotinib in the first line, she achieved disease stabilization lasting for 13 months as a response to erlotinib retreatment after 6 cycles of second-line chemotherapy. In conclusion, retreatment with erlotinib in our patient was effective. Therefore it should be considered as a good treatment option for patients with NSCLC harboring EGFR mutation.
doi_str_mv 10.1700/1578.17234
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source SAGE Complete A-Z List; MEDLINE
subjects Adenocarcinoma - drug therapy
Adenocarcinoma - genetics
Adenocarcinoma - pathology
Adenocarcinoma of Lung
Adult
Antineoplastic Agents - therapeutic use
Bone Neoplasms - secondary
ErbB Receptors - antagonists & inhibitors
ErbB Receptors - genetics
ErbB Receptors - metabolism
Erlotinib Hydrochloride
Female
Humans
Lung Neoplasms - drug therapy
Lung Neoplasms - genetics
Lung Neoplasms - pathology
Mutation
Pleural Effusion, Malignant - etiology
Pleural Neoplasms - secondary
Positron-Emission Tomography
Protein Kinase Inhibitors - therapeutic use
Quinazolines - therapeutic use
Retreatment
Thoracic Vertebrae
Tomography, X-Ray Computed
Treatment Outcome
title Retreatment with erlotinib of a patient with metastatic NSCLC harboring EGFR mutation: a case report
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