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[贝伐单抗治疗晚期非小细胞肺癌患者的长期生存:病例报告及文献复习]

[Long-term survival of a patient with advanced non-small cell lung cancer on bevacizumab therapy: case report and review of the literature].

作者信息

Wu Wei, Tang Junfang, Wu Yuhua, Zhu Yunzhong, Xu Liyan, Shi Heling, Meng Qiyi, Liu Zan, Guo Lili, Tao Hong, Li Mingzhi, Liu Zhe

机构信息

Department of Oncology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2013 Jun;16(6):325-9. doi: 10.3779/j.issn.1009-3419.2013.06.10.

Abstract

We report an advanced stage Chinese female lung adenocarcinoma patient who was negative for epidermal growth factor receptor (EGFR), V-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog (KRAS) gene mutations, also negative for chinodem microtubule-associated protein-like 4/anaplastic lymphoma kinase (EML4-ALK) gene rearrangement and treated with bevacizumab (15 mg/kg) in combination with 6 cycles of conventional doses of paclitaxel and carboplatin chemotherapy. She was then treated with maintenance bevacizumab for a total of 42 cycles, the total dose of bevacizumab is 44,730 mg. The progression-free survival was 39 months. Our findings suggest that maintenance bevacizumab for the treatment of non-small cell lung cancer (NSCLC) is safe and its benefit for long-term survival overwhelms its side effects.

摘要

我们报告了一名晚期中国女性肺腺癌患者,其表皮生长因子受体(EGFR)、V-Ki-ras2 Kirsten大鼠肉瘤病毒癌基因同源物(KRAS)基因突变均为阴性,棘皮动物微管相关蛋白样4/间变性淋巴瘤激酶(EML4-ALK)基因重排也为阴性,并接受了贝伐单抗(15 mg/kg)联合6个周期常规剂量紫杉醇和卡铂化疗。随后她接受了共42个周期的贝伐单抗维持治疗,贝伐单抗总剂量为44,730 mg。无进展生存期为39个月。我们的研究结果表明,贝伐单抗维持治疗非小细胞肺癌(NSCLC)是安全的,其对长期生存的益处超过了副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d345/6000572/c473dc301e27/zgfazz-16-6-325-1.jpg

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