Use of erlotinib throughout pregnancy: a case-report of a patient with metastatic lung adenocarcinoma

The use of erlotinib throughout pregnancy has not been previously reported. We present the case of a 40 year-old female patient with stage IV lung adenocarcinoma, mediastinal, bone and cerebral metastasis, a EGFR mutation and no smoking history, who had begun first line treatment with erlotinib 150...

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Detalles Bibliográficos
Autores: Rivas, Giovanna, Llinás, Nestor, Bonilla, Carlos, Rubiano, Juan, Cuello, Javier, Arango, Natalia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2012
País:Colombia
Institución:Universidad El Bosque
Repositorio:Repositorio U. El Bosque
Idioma:inglés
OAI Identifier:oai:repositorio.unbosque.edu.co:20.500.12495/4083
Acceso en línea:http://hdl.handle.net/20.500.12495/4083
https://doi.org/10.1016/j.lungcan.2012.03.026
https://repositorio.unbosque.edu.co
Access Level:acceso abierto
Palabra clave:Neoplasias pulmonares
Neoplasias del sistema respiratorio
Embarazo
Lung cancer
Treatment
Metastasis
Non-small cell lung carcinoma
Lung adenocarcinoma
Erlotinib
Pregnancy
EGFR tyrosine kinase inhibitor
Descripción
Sumario:The use of erlotinib throughout pregnancy has not been previously reported. We present the case of a 40 year-old female patient with stage IV lung adenocarcinoma, mediastinal, bone and cerebral metastasis, a EGFR mutation and no smoking history, who had begun first line treatment with erlotinib 150 mg once daily. After two and a half months of treatment a fourteen-week pregnancy was documented, and after informing on fetal risks secondary to erlotinib use and maternal risks secondary to treatment withholding, she decided to continue with treatment under clinical surveillance by both the oncology and obstetrics clinics. At thirty-three weeks gestation a live born 1600 g female was born by caesarean section without evidence of congenital malformations. Imaging assessment after eight months of treatment showed complete bone and central nervous system response and partial lung and mediastinal response. The patient is currently undergoing the 11th month of treatment and is asymptomatic, the baby is 4 months old and is in good health.