Yang Ning-Ning, Xiong Fei, He Qing, Guan Yong-Song
Department of Oncology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
World J Clin Cases. 2018 Jul 16;6(7):150-155. doi: 10.12998/wjcc.v6.i7.150.
Surgery is the first choice of treatment for patients with non-small-cell lung cancer (NSCLC), but few patients can be treated surgically because of either advanced disease or poor pulmonary function. Other therapies include radiotherapy and chemotherapy, as well as complementary and alternative therapies, usually with disappointing results. Bronchial artery infusion (BAI) is a manageable and effective method for treating advanced NSCLC. Outcome is good by BAI due to its repeatability and low toxicity. Icotinib hydrochloride is a newly developed and highly specific epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor and has been safely and efficiently used to treat advanced NSCLC. We herein report a 73-year-old patient with chronic cough, who was diagnosed with advanced NSCLC with the EGFR mutation of L858R substitution in exon 21, and treated with the combination of oral icotinib and BAI chemotherapy as the first-line therapy, which resulted in a satisfactory clinical outcome. Complete remission of advanced NSCLC can be achieved using the combination of oral icotinib and BAI chemotherapy.
手术是非小细胞肺癌(NSCLC)患者的首选治疗方法,但由于疾病晚期或肺功能差,很少有患者能够接受手术治疗。其他治疗方法包括放疗和化疗,以及补充和替代疗法,通常效果令人失望。支气管动脉灌注(BAI)是治疗晚期NSCLC的一种可控且有效的方法。由于其可重复性和低毒性,BAI的治疗效果良好。盐酸埃克替尼是一种新开发的、高度特异性的表皮生长因子受体(EGFR)酪氨酸激酶抑制剂,已被安全有效地用于治疗晚期NSCLC。我们在此报告一名73岁慢性咳嗽患者,被诊断为外显子21中L858R替代的EGFR突变的晚期NSCLC,并接受口服埃克替尼和BAI化疗联合作为一线治疗,取得了满意的临床结果。口服埃克替尼和BAI化疗联合使用可实现晚期NSCLC的完全缓解。