Long-term response to crizotinib in a 17-year-old boy with treatment-naive ALK-positive non-small-cell lung cancer

被引:1
作者
Megaro, Giacomina [1 ]
Miele, Evelina [1 ]
Spinelli, Gian Paolo [2 ]
Alessi, Iside [1 ]
Del Baldo, Giada [1 ]
Cozza, Raffaele [1 ]
Russo, Ida [1 ]
De Pasquale, Maria Debora [1 ]
Cefalo, Maria Giuseppina [1 ]
Toma, Paolo [3 ]
Carai, Andrea [4 ]
Di Ruscio, Valentina [1 ]
De Ioris, Maria Antonietta [1 ]
Mastronuzzi, Angela [1 ]
机构
[1] Bambino Gesu Pediat Hosp, IRCCS, Dept Hematol Oncol Cell & Gene Therapy, Rome, Italy
[2] Sapienza Univ Rome Aprilia, UOC Oncol Univ, ASL Latina Distretto Aprilia, Latina, Italy
[3] Bambino Gesu Pediat Hosp, IRCCS, Dept Imaging, Rome, Italy
[4] Bambino Gesu Pediat Hosp, IRCCS, Dept Neurosci, Neurosurg Unit, Rome, Italy
关键词
adenocarcinoma; adolescence; ALK; crizotinib; lung; PULMONARY TUMORS; YOUNG; ADENOCARCINOMA; ALECTINIB;
D O I
10.1002/cnr2.1483
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background Lung cancer is the leading cause of cancer-related death. NSCLC accounts for 80-90% of cases. In young patients, adenocarcinoma is the most frequent histotype and 3-7% expresses the rearrangement of ALK oncogene, sensitive to TKIs. Crizotinib is the first ALK inhibitor approved by the FDA. Case We present a case of a 17-year-old male with metastatic treatment-naive ALK-positive adenocarcinoma. He was treated with crizotinib and obtained a prolonged response with PFS of 33 months. Conclusion Crizotinib can be extremely effective in adolescents with treatment-naive ALK-positive NSCLC but fail to prevent a central nervous system relapse. Resistance mechanisms need to be investigated.
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页数:4
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