A case of lung adenocarcinoma with a concurrent EGFR mutation and ALK rearrangement: A case report and literature review

Autor: Li‑Ying Zhang, Yuan Shao, Yu‑Ping Zhang, Lin Wang, Ming‑Wei Shi, Xue‑Ying Cai, Chun‑Wei Xu, Yu‑Wang Tian, Lu‑Ping Wang, Yang Li
Rok vydání: 2015
Předmět:
Zdroj: Molecular Medicine Reports. 12:4370-4375
ISSN: 1791-3004
1791-2997
DOI: 10.3892/mmr.2015.4001
Popis: The echinoderm microtubule associated protein like 4‑anaplastic lymphoma kinase (EML4‑ALK) fusion is almost mutually exclusive to epidermal growth factor receptor (EGFR) or K‑RAS mutation in non‑small cell lung cancer (NSCLC), and it is extremely rare for patients to exhibit both mutations. The present study reported the case of a 71-year‑old female diagnosed with adenocarcinoma, exhibiting mutations in EGFR and EML4‑ALK. The present study treated this patient with EGFR‑TK inhibitors, as the first line therapy, and gefitinib therapy revealed a good response until now. In addition, previously reported cases and associated literature were reviewed. The present study provided a greater understanding of the molecular biology and optimal treatment for patients with NSCLC with >1 driver mutation.
Databáze: OpenAIRE