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

Huaiyu Wang,Zaiwen Fan,Xiaoming Yang, Qing Wu,Suxin Jiang,Jingna Zhu, Jie Liu, Chuanhong Zhou, Yinghui Liu,Xia You,Yong Han

The Oncologist(2024)

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摘要
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. This case report describes a patient with advanced oligometastatic non-small cell lung cancer with EGFR mutations who achieved downstaging through sequential EGFR-TKI-based precision medicine allowing resection of residual disease.
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关键词
EGFR L718Q,oligometastatic NSCLC,downstaging,whole course medical management
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