BRCA2-positive lung adenocarcinoma treated with olaparib: A case report

被引:0
作者
Motohashi, Takumi [1 ]
Isobe, Kazutoshi [1 ,3 ]
Yoshizawa, Takahiro [1 ]
Usui, Yusuke [1 ]
Shimizu, Hiroshige [1 ]
Sekiya, Muneyuki [1 ]
Miyoshi, Shion [1 ]
Nakamura, Yasuhiko [1 ]
Urabe, Naohisa [1 ]
Sakamoto, Susumu [1 ]
Homma, Sakae [1 ]
Sadamoto, Sota [2 ]
Tochigi, Naobumi [2 ]
Kishi, Kazuma [1 ]
机构
[1] Toho Univ, Sch Med, Div Resp Med, Tokyo, Japan
[2] Toho Univ, Sch Med, Dept Pathol, Tokyo, Japan
[3] Toho Univ, Div Resp Med, Sch Med, Omori nishi 6-11-1,Ota ku, Tokyo 1438541, Japan
关键词
adenocarcinoma; BRCA2 gene mutation; cancer genomic profiling test; olaparib;
D O I
10.1002/rcr2.1317
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
A 66-year-old woman was found to have abnormal shadows on a chest radiograph at a previous hospital 4 years ago, which led to a diagnosis of lung adenocarcinoma, cT2aN1M1b stage IVA. First-line treatment included carboplatin and paclitaxel plus thoracic radiotherapy and stereotactic radiation therapy for brain metastases. The patient later underwent second-line pemetrexed treatment, followed by third-line nivolumab, fourth-line docetaxel and bevacizumab, fifth-line tegafur-gimeracil-oteracil, and sixth-line gemcitabine. Two years ago, after observing an increase in the primary lesion and carcinoembryonic antigen levels (104.0 ng/mL), a computed tomography-guided biopsy was performed from the primary site of lung cancer. A cancer genomic profiling test (FoundationOne (R) CDx cancer genome profile) revealed a breast cancer susceptibility (BRCA) 2 gene mutation. Therefore, she started taking olaparib. The treatment led to stable disease for approximately 2 years.
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页数:4
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