自间变性大细胞淋巴瘤(ALCL)中首次发现间变性淋巴瘤激酶(ALK)以来,ALK阳性肿瘤谱系已显著拓宽,从最初的淋巴瘤扩展至非小细胞肺癌(NSCLC)、甲状腺癌等多种实体瘤[1]。ALK的激活机制复杂多样,包括基因重排、基因扩增以及点突变[1],其中,点突变多见于甲状腺未分化癌中[2]。目前,针对ALK靶点的药物种类较多,其中酪氨酸激酶抑制剂(TKI)通过精准抑制ALK活性,展现了显著的临床疗效。为进一步探索ALK阳性肿瘤患者的治疗效果,中国医学论坛报社开展“实例呈现——最佳临床病例分享项目”。
第六期特邀福建省肿瘤医院吴宇教授分享《一例ALK阳性晚期甲状腺癌患者后线接受伊鲁阿克治疗PFS超8个月》,并邀请福建省肿瘤医院刘辉教授进行点评。现将病例及点评内容整理如下,供大家分享、交流。
参考文献:
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