Erlotinib eradicates brain metastases from epidermal growth factor receptor mutant non-small cell lung cancer

Erlotinib is active in patients with lung cancer; especially those who demonstrate a mutation in exons 18-21 in the epidermal growth factor receptor (EGFR) gene. Patients with lung cancer and brain metastases have poor prognosis as systemic chemotherapy is ineffective in treating the central nervous...

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Autores principales: Siavash Jabbari, Michael Pins, Kimberly Kruczek, Chadi Nabhan
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Lenguaje:EN
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2011
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Acceso en línea:https://doaj.org/article/fc728a39eb094ea3938b165e4526d5b2
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spelling oai:doaj.org-article:fc728a39eb094ea3938b165e4526d5b22021-12-02T16:24:51ZErlotinib eradicates brain metastases from epidermal growth factor receptor mutant non-small cell lung cancer2231-07702249-446410.4103/2231-0770.90916https://doaj.org/article/fc728a39eb094ea3938b165e4526d5b22011-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.90916https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Erlotinib is active in patients with lung cancer; especially those who demonstrate a mutation in exons 18-21 in the epidermal growth factor receptor (EGFR) gene. Patients with lung cancer and brain metastases have poor prognosis as systemic chemotherapy is ineffective in treating the central nervous system (CNS) metastases due to its inability to cross the blood brain barrier. Herein, we report a case of a 61 year old female who presented with stage IV adenocarcinoma of the lung with bilateral cerebral and cerebellar CNS involvement. The patient′s tumor harbored a mutation in exon 19 in the EGFR gene. Treatment with erlotinib was started as soon as the molecular studies were available with remarkable and complete radiographic response in the CNS disease, and complete resolution of the previously detected metastases. The patient did not receive any other CNS intervention and radiation was not given due to the lack of CNS symptoms.Siavash JabbariMichael PinsKimberly KruczekChadi NabhanThieme Medical and Scientific Publishers Pvt. Ltd.articlebrain metastasiserlotiniblung cancertarcevaMedicineRENAvicenna Journal of Medicine, Vol 01, Iss 02, Pp 52-54 (2011)
institution DOAJ
collection DOAJ
language EN
topic brain metastasis
erlotinib
lung cancer
tarceva
Medicine
R
spellingShingle brain metastasis
erlotinib
lung cancer
tarceva
Medicine
R
Siavash Jabbari
Michael Pins
Kimberly Kruczek
Chadi Nabhan
Erlotinib eradicates brain metastases from epidermal growth factor receptor mutant non-small cell lung cancer
description Erlotinib is active in patients with lung cancer; especially those who demonstrate a mutation in exons 18-21 in the epidermal growth factor receptor (EGFR) gene. Patients with lung cancer and brain metastases have poor prognosis as systemic chemotherapy is ineffective in treating the central nervous system (CNS) metastases due to its inability to cross the blood brain barrier. Herein, we report a case of a 61 year old female who presented with stage IV adenocarcinoma of the lung with bilateral cerebral and cerebellar CNS involvement. The patient′s tumor harbored a mutation in exon 19 in the EGFR gene. Treatment with erlotinib was started as soon as the molecular studies were available with remarkable and complete radiographic response in the CNS disease, and complete resolution of the previously detected metastases. The patient did not receive any other CNS intervention and radiation was not given due to the lack of CNS symptoms.
format article
author Siavash Jabbari
Michael Pins
Kimberly Kruczek
Chadi Nabhan
author_facet Siavash Jabbari
Michael Pins
Kimberly Kruczek
Chadi Nabhan
author_sort Siavash Jabbari
title Erlotinib eradicates brain metastases from epidermal growth factor receptor mutant non-small cell lung cancer
title_short Erlotinib eradicates brain metastases from epidermal growth factor receptor mutant non-small cell lung cancer
title_full Erlotinib eradicates brain metastases from epidermal growth factor receptor mutant non-small cell lung cancer
title_fullStr Erlotinib eradicates brain metastases from epidermal growth factor receptor mutant non-small cell lung cancer
title_full_unstemmed Erlotinib eradicates brain metastases from epidermal growth factor receptor mutant non-small cell lung cancer
title_sort erlotinib eradicates brain metastases from epidermal growth factor receptor mutant non-small cell lung cancer
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate 2011
url https://doaj.org/article/fc728a39eb094ea3938b165e4526d5b2
work_keys_str_mv AT siavashjabbari erlotiniberadicatesbrainmetastasesfromepidermalgrowthfactorreceptormutantnonsmallcelllungcancer
AT michaelpins erlotiniberadicatesbrainmetastasesfromepidermalgrowthfactorreceptormutantnonsmallcelllungcancer
AT kimberlykruczek erlotiniberadicatesbrainmetastasesfromepidermalgrowthfactorreceptormutantnonsmallcelllungcancer
AT chadinabhan erlotiniberadicatesbrainmetastasesfromepidermalgrowthfactorreceptormutantnonsmallcelllungcancer
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