Ota Takayo, Okabayashi Aya, Fukuoka Masahiro
Department of Medical Oncology Izumi City General Hospital Izumi Japan.
Department of Dermatology Izumi City General Hospital Izumi Japan.
Respirol Case Rep. 2021 Aug 30;9(10):e0841. doi: 10.1002/rcr2.841. eCollection 2021 Oct.
V-raf murine sarcoma viral oncogene homologue B1 (BRAF) is a proto-oncogene that regulates cell proliferation and survival. BRAF V600E-mutated lung cancer has aggressive characteristics and is resistant to chemotherapies. Combination of BRAF-specific inhibitor dabrafenib and mitogen-activated protein kinase kinase (MEK) inhibitor trametinib is the standard treatment for BRAF V600E-mutated lung cancer. We report a case of BRAF V600E-mutated lung adenocarcinoma, which presented with respiratory distress due to deterioration of advanced cancer. The tumour responded rapidly and significantly to BRAF/MEK inhibitors, and the patient's symptoms improved within 2 weeks. BRAF/MEK inhibitors are effective treatment in BRAF-mutated lung cancer even under critical conditions.
V-raf鼠肉瘤病毒癌基因同源物B1(BRAF)是一种调节细胞增殖和存活的原癌基因。BRAF V600E突变型肺癌具有侵袭性特征,并且对化疗耐药。BRAF特异性抑制剂达拉非尼和丝裂原活化蛋白激酶激酶(MEK)抑制剂曲美替尼联合使用是BRAF V600E突变型肺癌的标准治疗方法。我们报告了一例BRAF V600E突变型肺腺癌病例,该病例因晚期癌症病情恶化出现呼吸窘迫。肿瘤对BRAF/MEK抑制剂迅速且显著地产生反应,患者症状在2周内得到改善。即使在危急情况下,BRAF/MEK抑制剂对BRAF突变型肺癌也是有效的治疗方法。