Background: Insertions in exon 19 in the epidermal growth factor receptor gene (EGFR) is a rarely seen mutation in non-small cell lung cancer. These patients have been effectively treated with sequential EGFR tyrosine kinase inhibitors (TKIs).

Case Summary: Here, we presented a case of non-small cell lung cancer, stage IIIB, with exon 19 insertion mutation as detected in the right lower lobe by next-generation sequencing. The patient was sequentially treated with first, second, and third-generation EGFR TKIs after the surgical operation. The overall survival of the patient was 21.3 mo. There was no dynamic analysis of drug resistance mechanisms in targeted therapy.

Conclusion: This case emphasized the importance of following the guidelines. In patients with mutations, repeated and dynamic next-generation sequencing monitoring is necessary to prescribe a personalized treatment plan.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891781PMC
http://dx.doi.org/10.12998/wjcc.v10.i6.1883DOI Listing

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