THE INITIAL TREATMENT RESULTS OF 6 PATIENTS WITH NON-SMALL CELL LUNG CANCER WITH EGFR AND ALK CONCURRENT MUTATIONS, AT THE CENTRAL LUNG HOSPITAL

Các tác giả

  • Le Tu Linh The National Lung Hospital
  • Nguyen Viet Nhung Vin University
  • Nguyen Hoang Anh Hanoi Medical University
  • Le Ngoc Minh Thu Hanoi Medical University
  • Hoang Huy Anh Hanoi Medical University
  • Nguyen Dieu My Hanoi Medical University
  • Nguyen Thi Trang Hanoi Medical University

DOI:

https://doi.org/10.59459/1859-1655/JMM.293

Từ khóa:

Lung cancer, EGFR, ALK, concurrent mutations, targeted therapy

Tóm tắt

Purpose: Evaluate the initial treatment results of non-small cell lung cancer with EGFR and ALK concurrent mutations.

Subjects and methods: A prospective study, non-controlled description, and longitudinal follow-up of 6 patients with stage IIIB-IV non-small cell lung cancer, with EGFR and ALK concurrent mutations, at the National Lung Hospital, from January 2022 to July 2023.

Results: The average age of patients was 65.5 years, the male/female gender ratio was 5/1, and the proportion of patients who smoked was 83.3%. Patients were mainly admitted to the hospital due to symptoms of cough (100%), chest pain (50.0%), and dyspnea (33.3%); the majority of patients with stage IV cancer (83.3%); all patients had adenocarcinoma (100%). The average disease-free survival time was 11.36 months. The common unwanted effects were mainly skin rash (83.3%) and diarrhea (66.7%). Elevated liver enzymes and renal failure occurred in the group of patients using a combination of EGFR-TKIs and ALK-TKIs and were the reasons for discontinuation of ALK-TKIs.

Tài liệu tham khảo

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Mao Y, Wu S (2017), “ALK and ROS1 concurrent with EGFR mutation in patients with lung adenocarcinoma”, Onco Targets Ther, 2017;10:3399-3404.

Yang J.J, Zhang X.C, Su J et al (2014), “Lung cancers with concomitant EGFR mutations and ALK rearrangements: diverse responses to EGFR-TKI and crizotinib in relation to diverse receptors phosphorylation”, Clin Cancer Res, 2014; 20:1383-1392.

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Élia Cipriano, Helena Magalhães, Catarina Tavares, João Pinto, Luís Cirnes, Fernanda Estevinho (2021), “Concurrent EGFR mutation and ALK rearrangement in stage IV lung adenocarcinoma - a case report and a literature review”, Porto Biomed. J, 6:1.

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Tải xuống

Đã Xuất bản

28.02.2024

Cách trích dẫn

Le Tu Linh, Nguyen Viet Nhung, Nguyen Hoang Anh, Le Ngoc Minh Thu, Hoang Huy Anh, Nguyen Dieu My, & Nguyen Thi Trang. (2024). THE INITIAL TREATMENT RESULTS OF 6 PATIENTS WITH NON-SMALL CELL LUNG CANCER WITH EGFR AND ALK CONCURRENT MUTATIONS, AT THE CENTRAL LUNG HOSPITAL. Tạp Chí Y học Quân sự, (368), 5. https://doi.org/10.59459/1859-1655/JMM.293

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