Multiple lung cancers including squamous cell carcinoma with strong PD-L1 expression and adenocarcinoma with EGFR exon 19 deletion: A case report.

Respir Med Case Rep

Division of Medical Oncology and Molecular Respirology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.

Published: December 2019

AI Article Synopsis

  • An 81-year-old non-smoking man was diagnosed with advanced synchronous multiple primary lung cancers, including squamous cell carcinoma and adenocarcinoma with specific genetic mutations.
  • He received PD-1 inhibitors as first-line chemotherapy, but the treatment showed a poor response.
  • This case is unique, as there are no similar documented instances of SMPLC, and his non-smoking status along with the EGFR deletion may have contributed to the ineffective treatment.

Article Abstract

We herein report a non-smoking 81-year-old man with advanced synchronous multiple primary lung cancers (SMPLC), containing squamous cell carcinoma with strong programmed death-ligand 1 expression in the middle lobe and adenocarcinoma with epidermal growth factor receptor (EGFR) exon 19 deletion in the lower lobe. Programmed death-1 (PD-1) inhibitors were administered as first-line chemotherapy; however, treatment response was poor response. There have been no reported SMPLC cases similar to this. During treatment, his non-smoking status and EGFR deletion might have been the cause of the patient's poor response to first-line PD-1 inhibitor treatment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6921201PMC
http://dx.doi.org/10.1016/j.rmcr.2019.100976DOI Listing

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