Tyrosine Kinase Inhibitors in EGFR-Mutated Large-Cell Neuroendocrine Carcinoma of the Lung? A Case Report

被引:21
作者
Aroldi, Francesca [1 ]
Bertocchi, Paola [1 ]
Meriggi, Fausto [1 ]
Abeni, Chiara [1 ]
Ogliosi, Chiara [1 ]
Rota, Luigina [1 ]
Zambelli, Claudia [2 ]
Bna, Claudio [3 ]
Zaniboni, Alberto [1 ]
机构
[1] Poliambulanza Fdn, Oncol Dept, Via Bissolati 57, IT-25124 Brescia, Italy
[2] Poliambulanza Fdn, Pathol Anat Dept, Brescia, Italy
[3] Poliambulanza Fdn, Radiol Dept, Brescia, Italy
来源
CASE REPORTS IN ONCOLOGY | 2014年 / 7卷 / 02期
关键词
Large-cell neuroendocrine carcinoma; Epidermal growth factor receptor mutation; Tyrosine kinase inhibitors; Gefitinib;
D O I
10.1159/000365413
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Large-cell neuroendocrine carcinoma (LCNEC) of the lung is a high-grade carcinoma belonging to the neuroendocrine tumors of the lung and is different from typical lung large-cell carcinoma. It represents about 3% of all pulmonary malignancies and is characterized by neuroendocrine cytologic features. The treatment usually is platinum-based chemotherapy, however the outcome remains poor. Therefore new therapeutic options are needed. Tyrosine kinase inhibitors have demonstrated greater efficacy and better tolerability than standard chemotherapy in non-small-cell lung cancer harboring epidermal growth factor receptor (EGFR) mutations. EGFR gene mutations were also rarely identified in LCNEC. We report a patient with lung LCNEC activating EGFR mutations who showed an impressive response to gefitinib. (C) 2014 S. Karger AG, Basel
引用
收藏
页码:478 / 483
页数:6
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