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CASE REPoRT Erlotinib in Symptomatic Brain Metastases From a Lung Adenocarcinoma With a Sensitizing EGFR Mutation Luiz H. de Lima Araújo, MD, MSc,* Juliana S. da Silveira, MD,† Clarissa S. Baldotto, MD,* Mauro Zukin, MD,* and Carlos G. Ferreira, MD, PhD* and phenytoine may reduce erlotinib absorption and activa- CASE REPORT tion, respectively. Nevertheless, these drugs were initially A 67-year-old woman with no history of smoking pre- maintained, given the high risk of complications associated sented with a 1-month complaint of headache and left hemi- with the use of steroids and the possibility of seizures. The paresis. She also complained of a nonproductive cough and patient progressively recovered from her central nervous a weight loss of 15 pounds during the previous 3 months. system-related symptoms; a remarkable response in all She had a good performance status (PS 1) and no comor- metastatic lesions, including resolution of the associated bidities. Magnetic resonance imaging of the brain revealed edema, sulcal effacement, and midline deviation, was dem- multiple ring-enhancing nodular lesions at the gray-white onstrated by brain magnetic resonance imaging 6 weeks matter junction with marked surrounding edema, sugges- later (Fig. 1). A major response was also observed in the tive of
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Jun 1, 2012
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