Sequential Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor-Induced Radical Surgery in Oligometastatic Non–Small Cell Lung Cancer: A Case Report

Author:

Wang Huaiyu1,Fan Zaiwen2,Yang Xiaoming3,Wu Qing1,Jiang Suxin1,Zhu Jingna1,Liu Jie1,Zhou Chuanhong1,Liu Yinghui1,You Xia4,Han Yong1

Affiliation:

1. Thoracic Surgery Department, Air Force Medical Center, PLA , Beijing , People’s Republic of China

2. Medical Oncology Department, Air Force Medical Center, PLA , Beijing , People’s Republic of China

3. Anesthesiology Department, Air Force Medical Center, PLA , Beijing , People’s Republic of China

4. The State Key Lab of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd , Nanjing, Jiangsu Province , People’s Republic of China

Abstract

Abstract Sequential regimens in patients with epidermal growth factor receptor (EGFR) mutation-positive non–small cell lung cancer (NSCLC) can overcome tyrosine kinase inhibitor (TKI) resistance and maximize clinical benefit. Patients with advanced NSCLC can achieve excellent tumor control after a period of EGFR-TKI treatment. Patients may benefit from additional local treatment, such as surgery or radiation therapy, once the tumor is under control. Here, we present a case of a patient with advanced oligometastatic NSCLC with EGFR mutations who achieved downstaging through sequential EGFR-TKI-based precision medicine allowing resection of residual disease.

Funder

Wu Jieping Medical Foundation

Publisher

Oxford University Press (OUP)

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