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奥希替尼在表皮生长因子受体(EGFR)突变的伴有骨转移的IV期肺腺癌中的无效性:一例报告

The Ineffectiveness of Osimertinib in Epidermal Growth Factor Receptor (EGFR)-Mutated Stage IV Lung Adenocarcinoma With Bone Metastasis: A Case Report.

作者信息

Livingston Caitlyn H, Harper Benjamin

机构信息

Neuroscinces, Texas A&M University, College Station, USA.

Medical Oncology, Calvary Mater, Newcastle, AUS.

出版信息

Cureus. 2024 Aug 5;16(8):e66240. doi: 10.7759/cureus.66240. eCollection 2024 Aug.

Abstract

This case report examines the effectiveness of osimertinib in a 64-year-old non-smoking female diagnosed with stage IV lung adenocarcinoma and an epidermal growth factor receptor (EGFR) exon 19 mutation, focusing on the treatment's impact on bone metastasis. Despite initial responsiveness to osimertinib, the patient's bone lesions remained largely unresponsive, prompting a comprehensive exploration of alternative treatments and clinical trials. This report highlights the patient's clinical journey, from diagnosis through various treatment phases, culminating in palliative care, and underscores the need for further research into targeted treatments for bone metastasis in lung cancer.

摘要

本病例报告探讨了奥希替尼对一名64岁、诊断为IV期肺腺癌且具有表皮生长因子受体(EGFR)外显子19突变的非吸烟女性的疗效,重点关注该治疗对骨转移的影响。尽管患者最初对奥希替尼有反应,但骨病变在很大程度上仍无反应,促使对替代治疗方法和临床试验进行全面探索。本报告突出了患者从诊断到各个治疗阶段,最终进入姑息治疗的临床历程,并强调了对肺癌骨转移靶向治疗进行进一步研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6167/11300870/6c5481dc8e54/cureus-0016-00000066240-i01.jpg

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