ERBB2-Mutated Metastatic Lung Adenocarcinoma With Treatment Intolerance and Progression

This lung cancer diagnosis at a glance

Subtype
Adenocarcinoma
Biomarkers
ERBB2 A775_G776 insYVMA mutation
Sex
male
Treatment
chemotherapy and targeted therapy
Outcome
Setback / Progression

Treatment course, step by step

  1. He received carboplatin and pemetrexed.
  2. Pemetrexed maintenance followed, with stable disease during 3.5 months of treatment, but tolerability was poor.
  3. Docetaxel plus ramucirumab was then given for 1 month and again produced stable disease with poor tolerability.
  4. Afatinib was then given for 1 month before symptomatic progression.

What happened, in summary

A man with metastatic lung adenocarcinoma had an ERBB2 A775_G776 insYVMA mutation and a limited smoking history. Carboplatin and pemetrexed followed by pemetrexed maintenance were given for 3.5 months. The disease remained stable, but he tolerated the treatment poorly. He then received docetaxel plus ramucirumab for 1 month. The cancer again remained stable, while treatment tolerance continued to be difficult. Afatinib was started next and continued for 1 month. His condition then worsened with symptomatic disease progression. His cancer had therefore progressed after several systemic and HER2-directed treatments, with treatment tolerability also shaping the earlier course.

Where this story comes from

This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full

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