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Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
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Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
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First-Line Osimertinib for EGFR-Mutated Squamous Cell Lung Carcinoma: A Case Report.

Yugo Matsumura1, Seiya Ichihara1, Kaori Nii1

  • 1Department of Respiratory Medicine, National Hospital Organization Kochi Hospital, Kochi, Japan.

Cancer Reports (Hoboken, N.J.)
|July 7, 2025
PubMed
Summary

A rare case of squamous cell lung carcinoma with an epidermal growth factor receptor (EGFR) mutation showed a positive response to osimertinib treatment. This finding suggests osimertinib may be a viable option for this specific patient group.

Keywords:
EGFR mutationEGFR‐TKIL858Rosimertinibsquamous cell lung cancer

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Area of Science:

  • Oncology
  • Genomics
  • Thoracic Surgery

Background:

  • Squamous cell lung carcinoma (SCLC) rarely harbors epidermal growth factor receptor (EGFR) mutations.
  • EGFR-tyrosine kinase inhibitors (TKIs) typically demonstrate limited efficacy in EGFR-mutated SCLC.
  • This case highlights a deviation from the general trend, presenting a responsive EGFR-mutated SCLC.

Observation:

  • A 75-year-old female presented with hemoptysis and back pain, diagnosed with stage IVA SCLC with adrenal metastasis.
  • Genomic analysis revealed an EGFR exon 21 L858R mutation in the primary tumor.
  • The tumor exhibited a high PD-L1 expression (95%).

Findings:

  • First-line treatment with osimertinib resulted in significant tumor shrinkage.
  • The therapeutic response was maintained for over 9 months.
  • This indicates a notable sensitivity to osimertinib in this rare SCLC subtype.

Implications:

  • Osimertinib demonstrates potential efficacy in a subset of EGFR-mutated SCLC patients.
  • This case expands the therapeutic considerations for SCLC beyond standard treatment protocols.
  • Further investigation into EGFR-mutated SCLC response to targeted therapies is warranted.