학술논문

Tolerability of sotorasib for KRAS positive lung adenocarcinoma patient with pre-existing interstitial pneumonia; A case report
Document Type
article
Source
Respiratory Medicine Case Reports, Vol 46, Iss , Pp 101929- (2023)
Subject
Interstitial pneumonia
Lung adenocarcinoma
Cancer gene panel
KRAS G12C mutation
Sotorasib
Diseases of the respiratory system
RC705-779
Language
English
ISSN
2213-0071
84218770
Abstract
A 74-year-old man was referred to our hospital with an abnormal chest shadow. Computed tomography (CT) revealed a mass in the left upper lobe and interstitial pneumonia (IP). The patient underwent CT-guided needle biopsy and was diagnosed as lung adenocarcinoma with cT2aN1M1a Stage IVA (PUL). The patient was administered 6 cycles of CBDCA + nab-paclitaxel as first-line, 3 cycles of atezolizumab as second-line, and 8 cycles of S-1 as third-line treatment but finally showed tumor progression. Because comprehensive genome profiling test revealed KRAS G12C mutation, sotorasib was initiated as fourth-line treatment and showed tumor regression without exacerbation of pre-existing IP.