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表皮生长因子受体酪氨酸激酶抑制剂致晚期非小细胞肺癌患者凝血因子 V 缺乏:首例报告

EGFR-TKI-induced Factor V deficiency in a patient with advanced non-small cell lung cancer: The first case report.

机构信息

Department of Respiratory Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan.

Department of Hematology, Showa University Fujigaoka Hospital, Yokohama, Japan.

出版信息

Lung Cancer. 2024 Aug;194:107869. doi: 10.1016/j.lungcan.2024.107869. Epub 2024 Jul 1.

Abstract

Osimertinib, a third-generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI), is routinely prescribed as first-line therapy for advanced non-small cell lung cancer, regardless of the presence of the T790M resistance mutation. This study reports a rare case of Factor V inhibitor detection during osimertinib therapy in a patient with lung adenocarcinoma. These findings underscore the importance of vigilant monitoring for coagulation abnormalities during EGFR-TKI therapy.

摘要

奥希替尼是第三代表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI),无论是否存在 T790M 耐药突变,均常规用于晚期非小细胞肺癌的一线治疗。本研究报告了一例肺腺癌患者在接受奥希替尼治疗期间检测到因子 V 抑制剂的罕见病例。这些发现强调了在 EGFR-TKI 治疗期间密切监测凝血异常的重要性。

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