Hou Guo Xin, Song Bin Bin
Department of Oncology, The First Hospital of Jiaxing, First Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang, China.
Math Biosci Eng. 2019 Jun 25;16(5):5923-5930. doi: 10.3934/mbe.2019296.
Gastric cancer is one of the most common gastrointestinal tumors. Most patients have been in advanced stage at diagnosis and lack effective treatment. Molecular targeted drugs have become new therapeutic strategies. MET is an important driving gene for the development of gastric cancer. MET gene amplification and protein over-expression are closely related to the invasion and metastasis, late stage and poor prognosis of gastric cancer. Crizotinib is a small molecule inhibitor against MET. There are few reports of crizotinib in gastric cancer patients with c-MET amplification. This article reports a case of c-MET gene amplification in advanced gastric cancer with liver metastases. After 2 months of treatment with crizotinib, liver lesions were completely relieved and progression-free survival lasted for up to 20 months.
胃癌是最常见的胃肠道肿瘤之一。大多数患者在确诊时已处于晚期,且缺乏有效的治疗方法。分子靶向药物已成为新的治疗策略。MET是胃癌发生发展的重要驱动基因。MET基因扩增和蛋白过表达与胃癌的侵袭、转移、晚期及预后不良密切相关。克唑替尼是一种针对MET的小分子抑制剂。关于克唑替尼在c-MET扩增的胃癌患者中的报道较少。本文报告1例晚期胃癌伴肝转移患者发生c-MET基因扩增的病例。经克唑替尼治疗2个月后,肝脏病灶完全缓解,无进展生存期长达20个月。