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

作者: Puyuan Xing , Junling Li , Yuankai Shi , Xiangru Zhang

DOI: 10.1111/1759-7714.12049

关键词:

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

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