江汉大学学报(自然科学版)2024,Vol.52Issue(2) :28-33.DOI:10.16389/j.cnki.cn42-1737/n.2024.02.004

达拉非尼联合曲美替尼治疗ALK与BRAF基因双突变晚期肺腺癌1例

A Case of Advanced Lung Adenocarcinoma with ALK and BRAF Mutations Treated with Dabrafenib Plus Trametinib

伍越 张思佳 镇鸿燕 龙志雄
江汉大学学报(自然科学版)2024,Vol.52Issue(2) :28-33.DOI:10.16389/j.cnki.cn42-1737/n.2024.02.004

达拉非尼联合曲美替尼治疗ALK与BRAF基因双突变晚期肺腺癌1例

A Case of Advanced Lung Adenocarcinoma with ALK and BRAF Mutations Treated with Dabrafenib Plus Trametinib

伍越 1张思佳 2镇鸿燕 1龙志雄3
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作者信息

  • 1. 江汉大学 医学部,湖北 武汉 430056
  • 2. 华中科技大学 同济医学院附属协和医院肿瘤中心,湖北 武汉 430021
  • 3. 武汉市第五医院 肿瘤科,湖北 武汉 430050
  • 折叠

摘要

目的 ALK 与 BRAF 基因双突变在非小细胞肺癌(non-small cell lung cancer,NSCLC)中极为罕见,目前有效的治疗方案尚缺乏临床案例及数据支持,本报道期望为该类患者的治疗提供临床参考.方法 报道 1例ALK融合与BRAF突变并存的 86岁的女性晚期肺腺癌病例,给予达拉非尼联合曲美替尼方案的治疗.结果 该患者经达拉非尼联合曲美替尼方案治疗后疗效评价达部分缓解(partial response,PR),且治疗过程中并未出现严重不良反应.结论 随着基因检测技术的发展及生物靶向药物的开发,晚期NSCLC患者生存率和生活质量得到提升.该例患者对达拉非尼联合曲美替尼方案有确切疗效,对ALK与BRAF基因双突变NSCLC临床诊治有参考意义.

Abstract

Objective Coexisting ALK and BRAF mutations are extremely rare in non-small cell lung cancer(NSCLC),and effective treatment options are not yet supported by clinical cases and data,thus this report is expected to provide a clinical reference for treating this group of patients.Methods To report a case of advanced lung adenocarcinoma in an 86-year-old female with coexisting ALK fusion and BRAF mutation,who was treated with dabrafenib plus trametinib.Results In our case,the patient achieved partial response(PR)after the treatment,and no serious adverse reactions were observed during the treatment.Conclusion With the rapid development of gene detection technology and bio-targeted drugs,the survival rate and life quality of patients with advanced NSCLC have been improved.This patient showed definite efficacy for dabrafenib plus trametinib,which provides a significant reference to the clinical diagnosis and treatment of NSCLC with ALK and BRAF mutations.

关键词

非小细胞肺癌/ALK融合/BRAF突变/靶向治疗/病例报告

Key words

non-small cell lung cancer(NSCLC)/ALK fusion/BRAF mutation/targeted therapy/case reports

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出版年

2024
江汉大学学报(自然科学版)
江汉大学

江汉大学学报(自然科学版)

影响因子:0.413
ISSN:1673-0143
参考文献量32
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