4.5 Article

Transformation to small-cell lung cancer following treatment with EGFR tyrosine kinase inhibitors in a patient with lung adenocarcinoma

Journal

LUNG CANCER
Volume 82, Issue 2, Pages 370-372

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.lungcan.2013.06.003

Keywords

Small cell lung cancer; Transformation; EGFR tyrosine kinase inhibitors; Adenocarcinoma; Resistance; NSE; ProGRP

Funding

  1. Grants-in-Aid for Scientific Research [23501306] Funding Source: KAKEN

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We report the case of a 52-year-old woman with lung adenocarcinoma treated with EGFR tyrosine kinase inhibitor (TKI) therapy. After disease progression, histological examination of a secondary biopsy specimen revealed small-cell lung cancer (SCLC) that was sensitive to standard SCLC treatment. Tumor markers, including ProGRP and NSE, were elevated. Transformation to SCLC is a mechanism for acquired resistance to EGFR-TKI therapy. Secondary biopsy is important for evaluation of genetic and histological changes and selection of appropriate treatment. Furthermore, ProGRP and NSE may be useful for early detection of SCLC transformation in cases resistant to EGFR-TKI therapy. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

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