EGFR-mutated lung cancer with T790M-acquired resistance in the brain and histologic transformation in the lung.

J Natl Compr Canc Netw

From aCity of Hope Comprehensive Cancer Center, Duarte, California; bDavid Geffen School of Medicine at UCLA, Los Angeles, California; and cCedars Sinai Medical Center, Hollywood, California.

Published: September 2013

This case report describes the rare occurrence of a T790M resistance mutation found in a central nervous system (CNS) parenchymal metastasis. A concomitant squamous histology transformation in a lung non-T790M-resistant metastasis is also described. The authors hypothesize that this CNS resistance and histology transformation may have resulted from intermittent use of erlotinib treatment. This case report emphasizes the complexities of using erlotinib in the induction setting.

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http://dx.doi.org/10.6004/jnccn.2013.0126DOI Listing

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