PMID- 35707517 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1178-6930 (Print) IS - 1178-6930 (Electronic) IS - 1178-6930 (Linking) VI - 15 DP - 2022 TI - An Effective Hormonal Therapy for a Patient with Estrogen Receptor 1 (ESR1)-Amplified Metastatic Ovarian Cancer: A Case Report. PG - 643-649 LID - 10.2147/OTT.S363856 [doi] AB - Hormonal therapy is an important treatment option for estrogen receptor (ER)-positive patients with advanced ovarian cancer. Although ER overexpression has been previously used as an indicator for hormonal therapy, the clinical outcomes of advanced ovarian cancer patients receiving hormonal therapy remain unsatisfactory. Additional biomarkers for screening patients are needed to improve its efficacy. In this study, we reported a metastatic ovarian cancer case with estrogen receptor 1 (ESR1) gene amplification and protein overexpression, which showed sustained partial response to hormonal therapy, including letrozole and tamoxifen, and displayed an overall survival of 47 months. The response to the therapy was evaluated by imageological examinations, cancer antigen-125 (CA-125) tests, and circulating tumor DNA (ctDNA) sequencing using capture-based hybrid next-generation sequencing. Our clinical data suggested that ESR1 amplification might be a potential predictor of response to hormonal therapy in ovarian cancer. The combination of tumor detection techniques including imaging, CA-125 and ctDNA would enable confirmation of tumor response with high confidence. CI - (c) 2022 Wang et al. FAU - Wang, Yue AU - Wang Y AD - Department of Medical Oncology, the Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, People's Republic of China. FAU - Tan, Shuang AU - Tan S AD - Department of Gynecology, the Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, People's Republic of China. FAU - Pan, Evenki AU - Pan E AD - Geneseeq Research Institute, Nanjing Geneseeq Technology Inc, Nanjing, Jiangsu, People's Republic of China. FAU - Ma, Yutong AU - Ma Y AUID- ORCID: 0000-0002-0622-2793 AD - Geneseeq Research Institute, Nanjing Geneseeq Technology Inc, Nanjing, Jiangsu, People's Republic of China. FAU - Wu, Xue AU - Wu X AD - Geneseeq Research Institute, Nanjing Geneseeq Technology Inc, Nanjing, Jiangsu, People's Republic of China. FAU - Yu, Zhe AU - Yu Z AD - Department of Medical Oncology, the Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, People's Republic of China. FAU - Jiang, Kui AU - Jiang K AD - Department of Medical Oncology, the Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, People's Republic of China. LA - eng PT - Case Reports DEP - 20220609 PL - New Zealand TA - Onco Targets Ther JT - OncoTargets and therapy JID - 101514322 PMC - PMC9191580 OTO - NOTNLM OT - ESR1 amplification OT - circulating tumor DNA OT - hormonal therapy OT - letrozole OT - ovarian cancer OT - tamoxifen COIS- Evenki Pan, Yutong Ma, and Xue Wu are employees of Nanjing Geneseeq Technology Inc., China. The other authors declare no conflicts of interest related to this case report. EDAT- 2022/06/17 06:00 MHDA- 2022/06/17 06:01 PMCR- 2022/06/09 CRDT- 2022/06/16 02:40 PHST- 2022/03/15 00:00 [received] PHST- 2022/05/27 00:00 [accepted] PHST- 2022/06/16 02:40 [entrez] PHST- 2022/06/17 06:00 [pubmed] PHST- 2022/06/17 06:01 [medline] PHST- 2022/06/09 00:00 [pmc-release] AID - 363856 [pii] AID - 10.2147/OTT.S363856 [doi] PST - epublish SO - Onco Targets Ther. 2022 Jun 9;15:643-649. doi: 10.2147/OTT.S363856. eCollection 2022.