Efficacy of epidermal growth factor receptor-tyrosine kinase inhibitors for patient with leptomeningeal metastasis of epidermal growth factor receptor mutant non-small cell lung cancer / 영남의대학술지
Yeungnam University Journal of Medicine
; : 64-67, 2016.
Article
de En
| WPRIM
| ID: wpr-60374
Bibliothèque responsable:
WPRO
ABSTRACT
We report on a 64-year-old man with leptomeningeal metastasis (LM) from an epidermal growth factor receptor (EGFR)-mutated adenocarcinoma of the lung. He was treated with paclitaxel, cisplatin. After completion of chemotherapy, he complained of headache, nausea, and vomiting. EGFR-mutated tumor cells were identified from the cerebrospinal fluid (CSF). Second-line therapy with gefitinib, methotrexate was started. After receiving gefitinib for 4 weeks, he had no more headaches or vomiting. Eleven months after initiation of gefitinib, he developed headache and nausea. Chest computed tomography showed aggravation of bone metastasis. Third-line therapy was started with gemcitabine and carboplatin. Two weeks later, he experienced disorientation. After a fourth relapse within the central nervous system, the therapy was switched to erlotinib and significant improvement of LM was achieved. This case shows that LM can be diagnosed by detecting EGFR mutation in CSF and EGFR tyrosine kinase inhibitors are effective for LM from EGFR mutant non-small cell lung cancer.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Phosphotransferases
/
Récidive
/
Thorax
/
Vomissement
/
Protein-tyrosine kinases
/
Adénocarcinome
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Système nerveux central
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Liquide cérébrospinal
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Méthotrexate
/
Carboplatine
Type d'étude:
Prognostic_studies
Limites du sujet:
Humans
langue:
En
Texte intégral:
Yeungnam University Journal of Medicine
Année:
2016
Type:
Article