Persistent response to vemurafenib in metastatic ameloblastoma with BRAF mutation: a case report.
J Med Case Rep
; 13(1): 245, 2019 Jul 25.
Article
en En
| MEDLINE
| ID: mdl-31340860
ABSTRACT
BACKGROUND:
Ameloblastomas are uncommon locally aggressive tumors of odontogenic epithelium that rarely metastasize. Currently, there is no standard of care for the metastatic forms. Several studies have shown that ameloblastomas frequently have a BRAF mutation. CASE PRESENTATION We report a case of a 33-year-old Caucasian woman with ameloblastoma diagnosed 30 years ago who developed lung metastasis 19 years ago. Systemic oral treatment with vemurafenib, a BRAF inhibitor, was initiated 28 months ago within the AcSé French basket clinical trial of vemurafenib.CONCLUSIONS:
The patient has shown a durable clinical, functional, and radiographic partial response with vemurafenib. These observations suggest the possibility of introducing neoadjuvant and/or adjuvant targeted therapy in locally advanced ameloblastoma to improve outcome. BRAF inhibition has proved to be an efficient strategy in patients with a BRAF-mutated ameloblastoma.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Ameloblastoma
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Inhibidores de Proteínas Quinasas
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Vemurafenib
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Neoplasias Pulmonares
Límite:
Adult
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Female
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Humans
Idioma:
En
Revista:
J Med Case Rep
Año:
2019
Tipo del documento:
Article
País de afiliación:
Francia