Lung cancer:液体活检T790M突变低丰度建议组织活检除外SCLC转化

2017-11-25 wrangx 肿瘤威廉亚洲官网

液体活检常用于检测耐药突变,从而避免组织活检。但是仅分析循环游离DNA,可能会遗漏其他少见和共存的耐药机制。患者来自ASTRIS研究,为真实世界数据,一代EGFR TKI耐药后行组织或血液检测T790M突变阳性,使用奥希替尼80mg治疗。T790M检测手段为ddPCR。

液体活检常用于检测耐药突变,从而避免组织活检。但是仅分析循环游离DNA,可能会遗漏其他少见和共存的耐药机制。患者来自ASTRIS研究,为真实世界数据,一代EGFR TKI耐药后行组织或血液检测T790M突变阳性,使用奥希替尼80mg治疗。T790M检测手段为ddPCR。

液体活检发现T790M突变阳性5例患者奥希替尼治疗后第1周期评效为进展,组织活检证明为SCLC转换。5例患者均为T790M突变低丰度(<0.03)。使用低敏感Therascreen再次液体检测,3例患者未发现T790M突变。研究结论为尽管液体活检是检测T790M突变重要手段,但对T790M低丰度患者,建议行组织活检排除SCLC转化或存在其他耐药机制。

原始出处:
R. Minari, P. Bordi, M. Del Re, et al.Primary resistance to osimertinib due to SCLC transformation: Issue of T790M determination on liquid re-biopsy.Lung cancerJanuary 2018Volume 115, Pages21–27 DOI: http://dx.doi.org/10.1016/j.lungcan.2017.11.011.

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    2018-08-29 zhlpower
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    2017-11-27 smlt2008
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    2017-11-25 三生有幸9135

    学习一下谢谢分享

    0

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    2017-11-25 天地飞扬

    谢谢分享!

    0

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    2017-11-25 明心见性

    谢谢分享!很好

    0

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