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EGFR-TKI治疗EGFR敏感突变的晚期肺鳞癌的疗效分析[J]. 肿瘤防治研究, 2015, 42(09): 911-914. DOI: 10.3971/j.issn.1000-8578.2015.09.011
引用本文: EGFR-TKI治疗EGFR敏感突变的晚期肺鳞癌的疗效分析[J]. 肿瘤防治研究, 2015, 42(09): 911-914. DOI: 10.3971/j.issn.1000-8578.2015.09.011
Efficacy of Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitors for Advanced Squamous Cell Lung Carcinoma Patients with Sensitive EGFR Mutations[J]. Cancer Research on Prevention and Treatment, 2015, 42(09): 911-914. DOI: 10.3971/j.issn.1000-8578.2015.09.011
Citation: Efficacy of Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitors for Advanced Squamous Cell Lung Carcinoma Patients with Sensitive EGFR Mutations[J]. Cancer Research on Prevention and Treatment, 2015, 42(09): 911-914. DOI: 10.3971/j.issn.1000-8578.2015.09.011

EGFR-TKI治疗EGFR敏感突变的晚期肺鳞癌的疗效分析

Efficacy of Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitors for Advanced Squamous Cell Lung Carcinoma Patients with Sensitive EGFR Mutations

  • 摘要: 目的 探讨表皮生长因子酪氨酸激酶抑制剂(Epidermal growth factor receptor-tyrosine kinase inhibitor, EGFR-TKI)治疗EGFR敏感突变的晚期肺鳞癌患者的疗效。方法 收集20例四川大学华西医院经病理确诊、EGFR检测敏感突变、并接受EGFR-TKI治疗的Ⅳ期或术后复发转移肺鳞癌患者,分析其与EGFR-TKI的疗效关系。结果 20例EGFR敏感突变的晚期鳞癌患者接受EGFR-TKI治疗,随访资料完整。10例19-del(+),8例L858R(+),1例同时存在外显子21(L858R)点突变和外显子20(T790M)突变,1例外显子18(G719X)突变。其中部分缓解(PR)9例,疾病稳定(SD)7例,疾病进展(PD)4例。客观缓解率(ORR)45%,疾病控制率80%,中位无进展生存期(mPFS)为5.0月,中位生存期(mOS)为14.7月。结论 EGFR-TKI对部分EGFR敏感突变的鳞癌患者有一定疗效。在临床工作中,应重视这部分患者的EGFR基因检测,以便明确获益的患者。

     

    Abstract: Objective To investigate the efficacy of epidermal growth factor receptor-tyrosine kinase inhibitors(EGFR-TKIs) for advanced squamous cell lung carcinoma patients with sensitive EGFR mutations. Methods We retrospectively analyzed 20 patients with advanced or recurrent SCC harboring EGFR mutation who were treated with EGFR-TKIs in West China Hospital Sichuan University to investigate the efficacy. Results The data of 20 EGFR-mutant squamous cell lung carcinoma patients received EGFR-TKIs was sufficient. Among them, 10 patients had exon 19 deletions, 8 patients had L858R point mutations in exon 21, 1 patient had coexisted L858R and T790M mutation in exon 21, and 1 patient had G719X in exon 18. In the 20 patients, the response to EGFR-TKIs included 9 PR, 7 SD and 4 PD. The response rate was 45% and the disease control rate was 80%. The median progression-free survival(mPFS) and median overall survival(mOS) was 5.0 and 14.7 months, respectively. Conclusion Some EGFR-mutated squamous cell lung carcinoma patients could response to EGFR-TKIs. To better identify these patients, EGFR mutation status should be take into consideration.

     

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