首页|甲磺酸伏美替尼一线治疗1例EGFR 20号外显子插入突变肺腺癌患者

甲磺酸伏美替尼一线治疗1例EGFR 20号外显子插入突变肺腺癌患者

扫码查看
随着基因组学、蛋白组学和分子生物检测技术的不断创新,晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)的治疗模式逐渐多样化,已经从传统的化疗逐渐过渡到免疫治疗及靶向治疗.其中,以靶向酪氨酸激酶通路为靶点的分子肿瘤标志物在临床中发挥着越来越重要的作用.针对NSCLC患者表皮生长因子受体(epidermal growth factor receptor,EGFR)突变阳性,现阶段市面上已经有众多一线治疗药物上市,且均有较为明显的治疗效果.在中国患者中EGFR常见的变异位点位于19、20和21号外显子上,其中19和21号外显子突变是较为常见的突变类型,除此以外,EGFR突变还有一种亚型,被称为EGFR 20号外显子插入(EGFR exon 20 insertion,EGFR 20ins)突变.我们针对1例EGFR20ins突变肺腺癌患者接受甲磺酸伏美替尼治疗进行总结,以期为临床诊疗提供有效借鉴.
First-line Treatment with Furmonertinib Mesylate in Lung Adenocarcinoma Patient with EGFR Exon 20 Insertion Mutantion
With the continuous innovation of genomics,proteomics and molecular biological detection technol-ogy,the treatment of non-small cell lung cancer(NSCLC)has changed from traditional chemotherapy to immunotherapy and targeted therapy.Among them,molecular tumor markers targeting tyrosine kinase pathways play more important roles in clinical practice.For advanced NSCLC patients with positive epidermal growth factor receptor(EGFR)mutations,there are many first-line drugs on the market and they could bring significant efficacy,thus completely subverting the treatment pattern of advanced NSCLC.Common mutations of EGFR in Chinese patients are located on exons 19,20 and 21,of which exons 19 and 21 mutations are the more common types.Besides,there is also a subtype of EGFR mutations,known as EGFR 20 exon insertion(EGFR 20ins)mutation.The authors summarized the treatment of a lung adenocarcinoma patient with EGFR 20ins mutation accepting Furmonertinib mesylate,in order to provide effective references for clinical diagnosis and treatment.

Lung neoplasmsFurmonertinib mesylateEpidermal growth factor receptorExon 20 insertion mutation

李正国、魏婷、曾多、赵丽、张建婷、陈来秀

展开 >

733000 武威,甘肃省武威肿瘤医院呼吸内科

肺肿瘤 甲磺酸伏美替尼 表皮生长因子受体 20号外显子插入突变

2024

中国肺癌杂志
中国抗癌协会 中国防痨协会 天津医科大学总医院

中国肺癌杂志

CSTPCD北大核心
影响因子:1.397
ISSN:1009-3419
年,卷(期):2024.27(3)
  • 2