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...

Full description

Autores:
Rivas, Giovanna
Llinás, Nestor
Bonilla, Carlos
Rubiano, Juan
Cuello, Javier
Arango, Natalia
Tipo de recurso:
Article of journal
Fecha de publicación:
2012
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
eng
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
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
Rights
openAccess
License
Acceso abierto
Description
Summary: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.