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一例携带BRAF V600E突变且PD-L1高表达的肺腺癌患者对达拉非尼联合曲美替尼治疗产生超长持久反应:病例报告

Exceptionally long-lasting response to dabrafenib plus trametinib treatment in a patient with lung adenocarcinoma harboring the BRAF V600E mutation with high expression of PD-L1: A case report.

作者信息

Inoue Takako, Kunimasa Kei, Tamiya Motohiro, Kawamura Takahisa, Minami Toshiyuki, Nishino Kazumi

机构信息

Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.

Department of Respiratory Medicine and Hematology, Hyogo Medical University, Nishinomiya, Japan.

出版信息

Thorac Cancer. 2024 Apr;15(11):929-933. doi: 10.1111/1759-7714.15254. Epub 2024 Mar 1.

Abstract

We present a patient with lung adenocarcinoma showing high PD-L1 expression and BRAF V600E mutation, who achieved a remarkable long-term response to the combination therapy of dabrafenib and trametinib (DT treatment) after disease progression on immunotherapy. This case may provide an opportunity for clinicians to consider the order of administration of immunotherapy and molecular targeted therapy for BRAF V600E-positive lung cancer.

摘要

我们报告了一名肺腺癌患者,该患者表现出高程序性死亡受体配体1(PD-L1)表达和BRAF V600E突变,在免疫治疗疾病进展后,对达拉非尼和曲美替尼联合治疗(DT治疗)取得了显著的长期缓解。该病例可能为临床医生考虑BRAF V600E阳性肺癌免疫治疗和分子靶向治疗的给药顺序提供契机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e840/11016420/eb806fd8e74c/TCA-15-929-g004.jpg

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