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尿道球腺转移性癌:一种通过分子谱分析成功治疗的罕见癌症。

Metastatic Cancer of Cowper's Gland: A Rare Cancer Managed Successfully by Molecular Profiling.

作者信息

Myers Charles E, Gatalica Zoran, Spinelli Anthony, Castro Michael, Linden Erica, Sartor Oliver, Sargent Mathew

机构信息

Foundation for Cancer Research and Education, Earlysville, Va., USA.

Caris Life Sciences, Phoenix, Ariz., USA.

出版信息

Case Rep Oncol. 2014 Jan 16;7(1):52-7. doi: 10.1159/000357972. eCollection 2014 Jan.

DOI:10.1159/000357972
PMID:24575017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3934673/
Abstract

Cancer of Cowper's gland is a very rare cancer. This case represents the 9th case in the medical literature. As such, there are no phase II or phase III trials to guide treatment. In this article, we report the successful treatment of a patient over a 7-year period guided solely by molecular profiling. Through multiple cycles to treatment, the cancer was controlled using drugs targeting c-kit, as the cancer steadily increased the expression of c-kit. This report also documents the use of a novel drug combination based on sunitinib that was well tolerated and may warrant testing in other c-kit-dependent cancers.

摘要

尿道球腺癌是一种极为罕见的癌症。该病例是医学文献中的第9例。因此,没有II期或III期试验来指导治疗。在本文中,我们报告了一名患者在仅由分子谱分析指导的7年期间的成功治疗情况。经过多个治疗周期,由于癌症不断增加c-kit的表达,使用靶向c-kit的药物控制了癌症。本报告还记录了一种基于舒尼替尼的新型药物组合的使用情况,该组合耐受性良好,可能值得在其他依赖c-kit的癌症中进行测试。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c4/3934673/c6b00ca9b3e5/cro-0007-0052-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c4/3934673/2b5ff0e38af5/cro-0007-0052-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c4/3934673/c6b00ca9b3e5/cro-0007-0052-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c4/3934673/2b5ff0e38af5/cro-0007-0052-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c4/3934673/c6b00ca9b3e5/cro-0007-0052-g02.jpg

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Metastatic Cancer of Cowper's Gland: A Rare Cancer Managed Successfully by Molecular Profiling.尿道球腺转移性癌:一种通过分子谱分析成功治疗的罕见癌症。
Case Rep Oncol. 2014 Jan 16;7(1):52-7. doi: 10.1159/000357972. eCollection 2014 Jan.
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本文引用的文献

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A review of adenoid cystic carcinoma of the breast with emphasis on its molecular and genetic characteristics.乳腺腺样囊性癌的研究进展,重点在于其分子和遗传学特征。
Hum Pathol. 2013 Mar;44(3):301-9. doi: 10.1016/j.humpath.2012.01.002. Epub 2012 Apr 18.
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Clinically significant copy number alterations and complex rearrangements of MYB and NFIB in head and neck adenoid cystic carcinoma.头颈部腺样囊性癌中 MYB 和 NFIB 的临床显著拷贝数改变和复杂重排。
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多平台分子谱分析鉴定出乳腺恶性叶状肿瘤中潜在可靶向的生物标志物。
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Adenoid cystic carcinomas constitute a genomically distinct subgroup of triple-negative and basal-like breast cancers.腺样囊性癌构成三阴性和基底样乳腺癌中基因组上不同的亚群。
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RRM1 expression and clinical outcome of gemcitabine-containing chemotherapy for advanced non-small-cell lung cancer: a meta-analysis.RRM1 表达与吉西他滨为基础的化疗治疗晚期非小细胞肺癌的临床结局:一项荟萃分析。
Lung Cancer. 2012 Mar;75(3):374-80. doi: 10.1016/j.lungcan.2011.08.003. Epub 2011 Sep 1.
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Clinical significance of Myb protein and downstream target genes in salivary adenoid cystic carcinoma.Myb 蛋白及其下游靶基因在唾液腺腺样囊性癌中的临床意义。
Cancer Biol Ther. 2011 Oct 1;12(7):569-73. doi: 10.4161/cbt.12.7.17008.
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Analysis of MYB expression and MYB-NFIB gene fusions in adenoid cystic carcinoma and other salivary neoplasms.分析 MYB 表达和 MYB-NFIB 基因融合在腺样囊性癌和其他唾液腺肿瘤中的作用。
Mod Pathol. 2011 Sep;24(9):1169-76. doi: 10.1038/modpathol.2011.86. Epub 2011 May 13.
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Combined treatment of adenoid cystic carcinoma with cetuximab and IMRT plus C12 heavy ion boost: ACCEPT [ACC, Erbitux® and particle therapy].西妥昔单抗联合调强放疗加碳离子 12 重离子推量治疗腺样囊性癌:ACCET [ACC、爱必妥和粒子治疗]。
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A phase 2 trial of bortezomib followed by the addition of doxorubicin at progression in patients with recurrent or metastatic adenoid cystic carcinoma of the head and neck: a trial of the Eastern Cooperative Oncology Group (E1303).硼替佐米诱导治疗后进展时加用多柔比星治疗头颈部复发性或转移性腺样囊性癌的Ⅱ期临床试验:东部肿瘤协作组(E1303)试验。
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