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Response to pemetrexed rechallenge after acquired resistance of EGFR-TKI in a patient with advanced NSCLC
Authors:Shuai Li  Fangyu Zhou  Shengxiang Ren  Caicun Zhou
Institution:1. Department of Lung Cancer and Immunology, Shanghai Pulmonary Hospital, Tongji University Medical School Cancer Institute, Tongji University School of Medicine, No. 507 Zhengmin Road, Shanghai 200433, People''s Republic of China;2. Department of Medical Oncology, Shanghai Pulmonary Hospital, Tongji University Medical School Cancer Institute, Tongji University School of Medicine, No. 507 Zhengmin Road, Shanghai 200433, People''s Republic of China
Abstract:Acquired resistance of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) has been developed as an important clinical problem though EGFR-TKI such as gefitinib, erlotinib and afatinib 0005 and 0010 has achieved 8–14 months of progression free survival in advanced non-small cell lung cancer (NSCLC) patient with EGFR mutation. We report a case here that an advanced lung adenocarcinoma with L858R mutation responded well to pemetrexed rechallenge after acquired resistance of erlotinib.
Keywords:Pemetrexed  Rechallenge  EGFR-TKI  Acquired resistance  Chemotherapy  NSCLC
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