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具有MET外显子14跳跃突变的非小细胞肺癌:病例报告

Non-small cell lung cancer with MET exon 14 skip mutation: case report.

作者信息

Clough Wolfgang, Al Jaberi Mira, Dalia Samir

机构信息

Kansas City University, Joplin, MO, USA.

University of Jordan, Amman, Jordan.

出版信息

Ann Transl Med. 2022 Dec;10(23):1287. doi: 10.21037/atm-2022-53.

Abstract

BACKGROUND

Non-small cell lung cancer (NSCLC) is the most common type of lung cancer, making up 80-85% of all lung malignancies. It can be further subdivided into different types. The three main subtypes are adenocarcinoma, squamous cell carcinoma, and large cell carcinoma. Traditionally, NSCLCs have been treated with a combination of chemotherapy, surgery, and/or radiation therapy. However, with the advent of genotype subtype analysis and targeted therapy it has become possible to have individualized treatment options for patients with NSCLC.

CASE DESCRIPTION

We present a case report of a 68-year-old female with NSCLC. Patient initially only received radiation therapy due to her not being a surgical candidate. While initial treatment was responsive, later imaging showed metastasis of disease. Subsequent genotype analysis of the patient's tumor indicated a MET exon 14 skipping mutation which qualified her for treatment with Capmatinib (Tabrecta).

CONCLUSIONS

Patients on Capmatinib have minimal side effects and better efficacy than traditional chemotherapy. Patients with MET exon 14 skipping mutations should be considered for Capmatinib therapy.

摘要

背景

非小细胞肺癌(NSCLC)是最常见的肺癌类型,占所有肺恶性肿瘤的80 - 85%。它可进一步细分为不同类型。三种主要亚型为腺癌、鳞状细胞癌和大细胞癌。传统上,非小细胞肺癌采用化疗、手术和/或放射治疗相结合的方法进行治疗。然而,随着基因型亚型分析和靶向治疗的出现,为非小细胞肺癌患者提供个性化治疗方案已成为可能。

病例描述

我们报告一例68岁非小细胞肺癌女性患者。由于患者不适合手术,最初仅接受了放射治疗。虽然初始治疗有反应,但后来的影像学检查显示疾病转移。对患者肿瘤进行的后续基因型分析表明存在MET外显子14跳跃突变,这使她有资格接受卡马替尼(Tabrecta)治疗。

结论

接受卡马替尼治疗的患者副作用最小,且疗效优于传统化疗。对于存在MET外显子14跳跃突变的患者,应考虑卡马替尼治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d710/9816822/425d7d2fe156/atm-10-23-1287-f1.jpg

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