Recurrent response to advanced lung adenocarcinoma with erlotinib developing leptomeningeal metastases during gefitinib therapy and two case reports.

Abstract:

BACKGROUND:Epidermal growth factor-tyrosine kinase inhibitors (EGFR-TKIs) are one of the effective medicines in advanced lung adenocarcinoma leptomeningeal metastasis (LM) treatment in recent years. METHODS:This paper reports two cases of advanced lung adenocarcinoma with exon-EGFR19 mutation. LM occurred during gefitinib treatment with an extracranial condition under control. Later, erlotinib was adopted with a recurrent response. RESULTS:The progression free survival of both patients was over six months and their LM was under control for six and a half and nine months, respectively. LM may be sensitive on different levels to different EGFR-TKIs. CONCLUSION:Erlotinib can be used to replace gefitinib if intracranial tumor progress occurs during gefitinib treatment. However, our conclusion still needs to be proven by further clinical research.

journal_name

Thorac Cancer

journal_title

Thoracic cancer

authors

Xing P,Li J,Shi Y,Zhang X

doi

10.1111/1759-7714.12049

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

38-42

issue

1

eissn

1759-7706

issn

1759-7714

journal_volume

5

pub_type

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