Lack of response to nivolumab in a patient with EGFR-mutant non-small cell lung cancer adenocarcinoma sub-type transformed to small cell lung cancer

被引:22
作者
Tokaca, Nadza [1 ]
Wotherspoon, Andrew [2 ]
Nicholson, Andrew G. [3 ,4 ]
Fotiadis, Nicos [5 ]
Thompson, Lisa [6 ]
Popat, Sanjay [1 ,4 ]
机构
[1] Royal Marsden Hosp, Lung Unit, Fulham Rd, London SW3 6JJ, England
[2] Royal Marsden Hosp, Dept Histopathol, Fulham Rd, London SW3 6JJ, England
[3] Royal Marsden Hosp, Dept Histopathol, Fulham Rd,Sydney St, London SW3 6NP, England
[4] Imperial Coll London, Natl Heart & Lung Inst, Cale St, London SW3 6LY, England
[5] Royal Marsden Hosp, Dept Intervent Radiol, Fulham Rd, London SW3 6JJ, England
[6] Inst Canc Res, Ctr Mol Pathol, Downs Rd, Sutton SM2 5PT, Surrey, England
关键词
NSCLC; Adenocarcinoma; EGFR; Small cell lung cancer; Transformation; Nivolumab; RESISTANCE MECHANISM; DOCETAXEL;
D O I
10.1016/j.lungcan.2017.07.012
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Small cell transformation is a rare but well recognised mechanism of acquired resistance to EGFR-TKI therapy in EGFR-mutated NSCLC, but optimal drug therapy thereof is unknown. Nivolumab has demonstrated activity in relapsed de novo small cell lung cancer in early phase trials. Here, we report a case of transformed EGFR-mutant SCLC treated with nivolumab with no benefit.
引用
收藏
页码:65 / 68
页数:4
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