Comprehensive genomic profiling of a metastatic small cell lung carcinoma with a complete and long-term response to atezolizumab: A case report

被引:1
作者
Tomic, Kresimir [1 ]
Krizanac, Dragana Karan [2 ]
Skenderi, Faruk [3 ]
Krpina, Kristina [4 ]
Bilic, Andrea Carapina [5 ]
Galic, Kristina [6 ]
Gatalica, Zoran
Vranic, Semir [7 ]
机构
[1] Univ Clin Hosp Mostar, Dept Oncol, Mostar, Bosnia & Herceg
[2] Univ Clin Hosp Mostar, Dept Pathol Cytol & Forens Med, Mostar, Bosnia & Herceg
[3] Sarajevo Sch Sci & Technol, Dept Pathol, UniMed Clin, Sarajevo, Bosnia & Herceg
[4] Univ Hosp Ctr Zagreb, Clin Resp Dis Jordanovac, Zagreb, Croatia
[5] Hlth Care Ctr Mostar, Dept Family Med, Mostar, Bosnia & Herceg
[6] Univ Clin Hosp Mostar, Dept Lung Dis, Mostar, Bosnia & Herceg
[7] Qatar Univ, Coll Med, QU Hlth, Doha, Qatar
关键词
Lung cancer; Small cell lung cancer; Immunotherapy; Atezolizumab; Genomic profiling; TUMOR MUTATIONAL BURDEN; IMMUNOTHERAPY; SENSITIVITY;
D O I
10.1016/j.rmcr.2023.101920
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Small cell lung cancer (SCLC) is a highly aggressive malignancy with a poor outcome. We present the case of a 57-year-old male patient with extensive-stage (ES-SCLC) treated with chemotherapy and atezolizumab. A complete response was achieved with a long remission of similar to three years. Comprehensive genomic profiling (CGP) of the tumor revealed high tumor mutation burden (13 mutations/Mb) and mutations of TP53, RB1 and ERCC4 genes. This case study confirms that a complete response to chemoimmunotherapy may be achieved in the case of ES-SCLC. It further provides the additional value of CGP and predictive testing in the management of ES-SCLC.
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页数:5
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