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一例携带间充质-上皮转化外显子14跳跃突变的肺腺癌患者出现卡马替尼相关的间质性肺疾病:病例报告

Capmatinib‑associated interstitial lung disease in a patient with lung adenocarcinoma harboring a skipping mutation of mesenchymal‑epithelial transition exon 14: A case report.

作者信息

Lee Bing-Jie, Chang Cheng-Yu

机构信息

Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City 22000, Taiwan, R.O.C.

Division of Chest Medicine, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City 22000, Taiwan, R.O.C.

出版信息

Oncol Lett. 2023 Sep 4;26(4):455. doi: 10.3892/ol.2023.14042. eCollection 2023 Oct.

Abstract

Capmatinib is a medication used to treat patients with non-small cell lung cancer (NSCLC) who have a specific genetic mutation known as a mesenchymal-epithelial transition exon 14 skipping mutation. Previous clinical trials have reported that capmatinib treatment has a high objective response rate in patients with this genetic mutation. However, there have also been rare reports of patients developing interstitial lung disease (ILD) following capmatinib treatment, which can be life-threatening. The present case study reports the treatment of a patient who developed ILD after 6 weeks of capmatinib treatment for NSCLC, which was resolved following application of corticosteroids. The present case demonstrated that early recognition of the onset of ILD and discontinuation of capmatinib treatment, along with the prompt initiation of corticosteroid administration, can lead to complete resolution of ILD.

摘要

卡马替尼是一种用于治疗非小细胞肺癌(NSCLC)患者的药物,这些患者具有一种特定的基因突变,即间充质-上皮转化外显子14跳跃突变。先前的临床试验报告称,卡马替尼治疗对具有这种基因突变的患者有较高的客观缓解率。然而,也有罕见的报告称,患者在接受卡马替尼治疗后出现间质性肺病(ILD),这可能危及生命。本病例研究报告了一名非小细胞肺癌患者在接受卡马替尼治疗6周后发生间质性肺病的治疗情况,在应用皮质类固醇后病情得到缓解。本病例表明,早期识别间质性肺病的发作并停用卡马替尼治疗,同时迅速开始使用皮质类固醇,可以使间质性肺病完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa87/10502934/a613c488c722/ol-26-04-14042-g00.jpg

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