首页|EGFR-TKIs耐药继发MET基因扩增肺鳞癌1例报告并文献复习

EGFR-TKIs耐药继发MET基因扩增肺鳞癌1例报告并文献复习

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肺腺癌患者目前已常规开展表皮生长因子受体(epidermal growth factor receptor,EGFR)的基因检测,而部分小样本的不吸烟的女性肺鳞癌患者也有EGFR突变的可能,肺癌靶向治疗的快速发展为这一类患者增加了靶向治疗的机会.然而肺鳞癌患者行靶向治疗期间出现耐药是影响后续治疗的重要因素.靶向治疗获得性耐药有多种机制,间充质细胞上皮转化因子(mesenchymal-epithelial transition factor,MET)信号通路的改变是其中常见的耐药机制之一.目前,一些MET的选择性酪氨酸激酶抑制剂(tyrosine kinase inhibitors,TKIs)已获批用于伴MET基因14外显子跳跃突变的非小细胞肺癌,如谷美替尼、塞沃替尼、特泊替尼、卡马替尼等,而针对继发MET基因扩增的药物尚处于临床试验阶段.本文通过回顾性分析1例EGFR-TKIs耐药继发MET基因扩增女性肺鳞癌患者的临床资料,并复习相关文献,探讨如何优选具有EGFR突变的肺鳞癌患者的治疗方案,为该类患者的诊疗提供临床借鉴及参考.
A Case Report of EGFR-TKIs Resistant Secondary MET Gene Amplified Lung Squamous Cell Carcinoma and Literature Review
With the rapid development of epidermal growth factor receptor(EGFR)gene testing of lung adeno-carcinoma patients has been routinely carried out,EGFR mutations are also possible for some small samples of non-smoking female lung squamous cell carcinoma patients.This increases the opportunity for targeted therapy for this group of patients.However,drug resistance in patients with lung squamous cell carcinoma during targeted therapy is an important factor affect-ing subsequent treatment.There are multiple mechanisms of acquired drug resistance in targeted therapy,and the alteration of mesenchymal-epithelial transition factor(MET)signaling pathway is one of the common mechanisms of drug resistance.At present,some selective tyrosine kinase inhibitors(TKIs)of MET has been approved for non-small cell lung cancer with MET gene 14 exon skipping mutation,such as Glumetinib,Savolitinib,Tepotinib,Capmatinib,etc.Drugs that target secondary MET amplification are still in clinical trials.This paper retrospectively analyzed the clinical data of a female patient with EGFR-TKIs resistant secondary MET amplified squamous cell lung cancer,and reviewed relevant literature to explore how to optimize the treatment of lung squamous cell carcinoma patients with EGFR mutation,so as to provide clinical reference for the diagnosis and treatment of such patients.

Lung neoplasmsEGFR-TKIsMETSquamous cell lung cancer

刘亚岚、陈鹏、刘新福

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422000 邵阳,湖南省邵阳市中心医院肿瘤内科

300060 天津,天津医科大学肿瘤医院肺部肿瘤内科,国家肿瘤临床医学研究中心

肺肿瘤 EGFR-TKIs MET 肺鳞癌

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(11)