PMID- 23683537 OWN - NLM STAT- MEDLINE DCOM- 20140501 LR - 20190221 IS - 1872-8332 (Electronic) IS - 0169-5002 (Linking) VI - 81 IP - 2 DP - 2013 Aug TI - Coexistence of EGFR mutation and ALK translocation in NSCLC: literature review and case report of response to gefitinib. PG - 294-6 LID - S0169-5002(13)00159-1 [pii] LID - 10.1016/j.lungcan.2013.04.009 [doi] AB - The coexistence of EGFR and ALK-EML4 gene mutations represents a rare event (about 1%) in patients with non small cell lung cancer (NSCLC) and the few cases described in the literature have all been treated by different methods. We present the case of a 52-year-old woman with adenocarcinoma of the lung whose tumor had this double genetic aberration. The patient was immediately treated with gefitinib because the tumor was judged inoperable, but after two months she obtained an important clinical remission and was submitted to radical surgery. She is currently undergoing adjuvant treatment with gefitinib. A review of the literature on this double genetic aberration highlighted that further research is needed to define the best therapeutic approach. CI - Copyright (c) 2013 Elsevier Ireland Ltd. All rights reserved. FAU - Santelmo, C AU - Santelmo C AD - U.O. Oncologia, Ospedale Infermi Rimini, 2 Settembrini Street, Rimini, Italy. carlotta.santelmo@alice.it FAU - Ravaioli, A AU - Ravaioli A FAU - Barzotti, E AU - Barzotti E FAU - Papi, M AU - Papi M FAU - Poggi, B AU - Poggi B FAU - Drudi, F AU - Drudi F FAU - Mangianti, M AU - Mangianti M FAU - Salvi, M AU - Salvi M FAU - Crino, L AU - Crino L LA - eng PT - Case Reports PT - Journal Article DEP - 20130514 PL - Ireland TA - Lung Cancer JT - Lung cancer (Amsterdam, Netherlands) JID - 8800805 RN - 0 (Cell Cycle Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Quinazolines) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 3.4.21.- (EML4 protein, human) RN - EC 3.4.21.- (Serine Endopeptidases) RN - S65743JHBS (Gefitinib) SB - IM MH - Adenocarcinoma/drug therapy/enzymology/genetics/metabolism MH - Adenocarcinoma of Lung MH - Anaplastic Lymphoma Kinase MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/enzymology/genetics/metabolism MH - Cell Cycle Proteins/genetics MH - ErbB Receptors/*genetics MH - Female MH - Gefitinib MH - Humans MH - Lung Neoplasms/*drug therapy/enzymology/genetics/metabolism MH - Microtubule-Associated Proteins/genetics MH - Middle Aged MH - *Mutation MH - Quinazolines/*therapeutic use MH - Receptor Protein-Tyrosine Kinases/*genetics MH - Serine Endopeptidases/genetics OTO - NOTNLM OT - ALK translocation OT - Double mutation OT - EGFR mutation OT - Gefitinib OT - Neoadjuvant chemotherapy OT - Non small cell lung cancer EDAT- 2013/05/21 06:00 MHDA- 2014/05/03 06:00 CRDT- 2013/05/21 06:00 PHST- 2012/11/01 00:00 [received] PHST- 2013/04/06 00:00 [revised] PHST- 2013/04/08 00:00 [accepted] PHST- 2013/05/21 06:00 [entrez] PHST- 2013/05/21 06:00 [pubmed] PHST- 2014/05/03 06:00 [medline] AID - S0169-5002(13)00159-1 [pii] AID - 10.1016/j.lungcan.2013.04.009 [doi] PST - ppublish SO - Lung Cancer. 2013 Aug;81(2):294-6. doi: 10.1016/j.lungcan.2013.04.009. Epub 2013 May 14.