Complete pathologic response to neoadjuvant icotinib in stage IIIA EGFR-mutant lung adenosquamous carcinoma: A case report

Author:

Cai Zhongfu1,Huang Jishui1,Dai Wenliang1,Li Xiaobin1,Hong Wencong1,Hong Youzhi1ORCID

Affiliation:

1. Department of Respiratory and Critical Care Medicine, The Hospital of Nan'an, Quanzhou, China.

Abstract

Rationale: Radical surgery offers the best chance of cure, it is critical to expand surgery opportunities for patients with early-stage lung cancer to prolong overall survival. However, evidence is still limited regarding the application of neoadjuvant therapy with EGFR-tyrosine kinase. Patient: The patient reported here was a 53-year-old woman with right lower lung adenosquamous carcinoma. Diagnoses: The lung cancer was staged as T3N1M0. Tumor genotype disclosed EGFR Exon19 c.2235-2249de p.E746-A750del. Intervention: After neoadjuvant treatment with icotinib, she underwent thoracotomy and achieved pathological complete response. Outcomes: She is currently receiving adjuvant icotinib therapy without recurrence or metastasis during 18-month follow-up. Lessons: Our case indicated that the feasibility of neoadjuvant icotinib in EGFR-mutant lung adenosquamous carcinoma.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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