Use of erlotinib throughout pregnancy: a case-report of a patient with metastatic lung adenocarcinoma
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Fecha
2012
Título de la revista
Publicado en
Lung Cancer, 1872-8332, Vol. 77, No. 2, 2012 p. 469-472
Publicado por
Elsevier
ISSN de la revista
Título del volumen
Resumen
Descripción
Abstract
The use of erlotinib throughout pregnancy has not been previously reported. We present the case of a 40 year-old female patient with stage IV lung adenocarcinoma, mediastinal, bone and cerebral metastasis, a EGFR mutation and no smoking history, who had begun first line treatment with erlotinib 150 mg once daily. After two and a half months of treatment a fourteen-week pregnancy was documented, and after informing on fetal risks secondary to erlotinib use and maternal risks secondary to treatment withholding, she decided to continue with treatment under clinical surveillance by both the oncology and obstetrics clinics. At thirty-three weeks gestation a live born 1600 g female was born by caesarean section without evidence of congenital malformations. Imaging assessment after eight months of treatment showed complete bone and central nervous system response and partial lung and mediastinal response. The patient is currently undergoing the 11th month of treatment and is asymptomatic, the baby is 4 months old and is in good health.
Palabras clave
Keywords
Lung cancer, Treatment, Metastasis, Non-small cell lung carcinoma, Lung adenocarcinoma, Erlotinib, Pregnancy, EGFR tyrosine kinase inhibitor
Temáticas
Neoplasias pulmonares
Neoplasias del sistema respiratorio
Embarazo
Neoplasias del sistema respiratorio
Embarazo