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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1 Department of Hematology-Oncology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, ROC
* To whom correspondence should be addressed. 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.
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 *
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
John Wen-Cheng Chang, E-mail: wen1902{at}hotmail.com
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