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Japanese Journal of Clinical Oncology Advance Access published online on June 27, 2006

Japanese Journal of Clinical Oncology, doi:10.1093/jjco/hyl057
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© 2006 Foundation for Promotion of Cancer Research
Received March 20, 2006
Accepted April 17, 2006

Case Report

Different Responses to Gefitinib in Lung Adenocarcinoma Coexpressing Mutant- and Wild-Type Epidermal Growth Factor Receptor Genes

Wen-Chi Chou 1, Shiu-Feng Huang 2, Kun-Yang Yeh 3, Hung-Ming Wang 1, Mei-Ying Liu 1, Jia-Juan Hsieh 1, Yun-Chung Cheung 4, and John Wen-Cheng Chang 1 *

1 Department of Hematology-Oncology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, ROC
2 Division of Molecular and Genomic Medicine, National Health Research Institutes, Miaoli, ROC
3 Department of Hematology-Oncology, Pahai Hospital, Yilan, Taiwan, ROC
4 First Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, ROC

* To whom correspondence should be addressed.
John Wen-Cheng Chang, E-mail: wen1902{at}hotmail.com


   Abstract

Response to gefitinib is strongly associated with the status of the epidermal growth factor receptor gene. Here we report the different treatment responses in a case of lung adenocarcinoma coexpressing mutant-type gene in the primary lung mass and a wild-type gene in the metastatic bone lesions. This case demonstrated that at least two strains of tumor cells were present in a single patient. This may be one of the mechanisms of gefitinib resistance.

Keywords: lung cancer; diagnosis & staging, translational oncology; gene profiling, translational oncology; signal transduction, EGFR mutation.
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