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胸腔病例(三八六)ROS1基因重組之肺腺癌

摘要


肺癌依舊為近年國人癌症死亡率的第一名,ROS1基因重組之肺腺癌佔其中極少數的比例,屬於較罕見的基因突變。患者多為年齡較年輕、從未吸煙、診斷時已晚期(第4期)的肺腺癌,且亞洲患者佔多數。治療前,可先做基因檢測,若發現突變則能使用標靶藥物治療,目前crizotinib(商品名:Xalkori®,截剋瘤)及entrectinib(商品名:Rozlytrek®,羅思克),皆已通過健保給付於ROS1基因重組的病患使用,且近期文獻皆顯示客觀反應率超過7成。本文報告一名第4期ROS1基因重組陽性之肺腺癌患者,接受crizotinib治療後,肺部腫瘤明顯縮小。

參考文獻


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