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1例罕见的MET外显子14跳跃突变阳性肺肉瘤样癌伴胰腺转移。

A rare case of MET exon 14 skipping mutation-positive pulmonary sarcomatoid carcinoma with pancreatic metastasis.

作者信息

Hayashi Tatsuya, Otani Shinji, Kitazawa Riko, Ueki Takashi, Ishimura Takao, Sugihara Takahito, Ogura Fumiya, Kiriyama Yousuke, Mori Yu, Sakao Nobuhiko, Sano Yoshifumi, Izutani Hironori

机构信息

Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon City, Ehime, 791-0204, Japan.

Department of Molecular Pathology, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon City, Ehime, 791-0204, Japan.

出版信息

Respir Med Case Rep. 2023 Dec 6;48:101956. doi: 10.1016/j.rmcr.2023.101956. eCollection 2024.

Abstract

Lung sarcomatoid carcinoma is a rare tumor. We report a rare case of pancreatic metastasis in a 76-year-old man with lung sarcomatoid carcinoma. Right upper lobectomy was performed, and the patient was diagnosed with pulmonary sarcomatoid carcinoma with a MET exon 14 skipping mutation. A biopsy of the pancreatic lesion subsequently revealed pancreatic metastasis. A MET exon 14 skipping mutation was confirmed, and the patient was treated with a MET tyrosine kinase inhibitor and maintained a complete response for 2 years. Lung sarcomatoid carcinoma rarely metastasizes to the pancreas and can be adequately treated with a MET tyrosine kinase inhibitor.

摘要

肺肉瘤样癌是一种罕见肿瘤。我们报告了一例76岁肺肉瘤样癌男性患者发生胰腺转移的罕见病例。患者接受了右上肺叶切除术,被诊断为具有MET外显子14跳跃突变的肺肉瘤样癌。随后对胰腺病变进行活检,结果显示为胰腺转移。MET外显子14跳跃突变得到确认,该患者接受了MET酪氨酸激酶抑制剂治疗,并维持完全缓解状态达2年。肺肉瘤样癌很少转移至胰腺,采用MET酪氨酸激酶抑制剂可获得充分治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316b/11736171/c900428201c6/gr1.jpg

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