已发表论文

病例报道:一例 EGFR  基因突变的肺癌患者及其耐药机制探讨

 

Authors Xu L, Wang QZ, Wu L

Received 8 June 2017

Accepted for publication 11 August 2017

Published 12 September 2017 Volume 2017:10 Pages 4517—4525

DOI https://doi.org/10.2147/OTT.S143501

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Akshita Wason

Peer reviewer comments 5

Editor who approved publication: Dr Samir Farghaly

摘要:在过去的十年中,随着针对特殊基因改变的靶向治疗的发展,如 EGFR  等,肺癌的治疗发生了翻天覆地的变化,取得了极大的进步。在这里,我们报道一个罕见病例,该患者初始基因检测含有 EGFR  敏感突变及 ALK 过表达。在 EGFR-TKI 治疗期间 ,二代测序技术先后在肿瘤标本中发现 PI3K/AKT/mTOR 途径激活,在血浆 ctDNA 中检测出 T790M 突变。总之,该病例体现了双重耐药机制的存在以及 ctDNA 能检测出肿瘤异质性。
Keywords: epidermal growth factor receptor, PI3K/Akt/mTOR pathway, T790M, next-generation sequencing, circulating tumor DNA