Alectinib rescue therapy in advanced ALK rearranged lung adenocarcinoma: a case report

被引:0
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作者
Cesaro, Cristiano [1 ,7 ]
Caterino, Umberto [1 ]
Perrotta, Fabio [2 ]
Masi, Umberto [2 ]
Cotroneo, Alessandra [2 ]
Cianci, Roberta [2 ]
Zamparelli, Enzo [3 ]
Cesaro, Flavio [4 ]
Amore, Dario [5 ]
Rocco, Danilo [6 ]
机构
[1] Azienda Osped Colli, Monaldi Hosp, Unit Bronchol, Naples, Italy
[2] Univ Campania L Vanvitelli, Azienda Osped Colli, Monaldi Hosp, Unit Pulmonol, Naples, Italy
[3] Azienda Osped Colli, Monaldi Hosp, Unit Anesthesia & Resuscitat, Naples, Italy
[4] CTO Hosp, Unit Emergency Med & Surg & Aid 1, Naples, Italy
[5] Azienda Osped Colli, Monaldi Hosp, Unit Thorac Surg, Naples, Italy
[6] Azienda Osped Colli, Monaldi Hosp, Unit Oncol Pulmonol, Naples, Italy
[7] AO Colli Naples, Monaldi Hosp, Unit Bronchol, Via Leonardo Bianchi, I-80131 Naples, Italy
关键词
lung adenocarcinoma; malignant pleural effusion; anaplas-tic lymphoma kinase inhibitor therapy (ALK); CANCER;
D O I
10.4081/monaldi.2022.2388
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Alectinib is a highly selective tyrosine kinase inhibitor of anaplastic lymphoma kinase (ALK) that is approved as first-line treatment in adult patients with ALK-positive non-small cell lung cancer (NSCLC) and as second-line in patients previously treated with crizotinib, and has been shown in the literature to significantly prolong progression-free survival compared to chemotherapy in patients with advanced non-small cell lung cancer. The authors describe a clinical case of a 24-year-old woman with malignant massive pleural effusion caused by ALK rearranged pulmonary adenocarcinoma with pleural and pericardial metastasis, in which, despite a dramatic clinical debut, the correct and timely management of the diagnostic and therapeutic path allowed for extraordinary therapeutic success.
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页数:3
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