2018
DOI: 10.1080/14767058.2018.1461830
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Lung adenocarcinoma during pregnancy: clinical case and literature review

Abstract: Lung cancer during pregnancy is a very rare disease with less than 70 cases published to date. Information about specific lung cancer as adenocarcinoma is even more limited. Genetic techniques can detect oncogene mutations which seem to be more frequent among cases of lung cancer in pregnant women and could determine both the treatment and prognosis. We present a recent case seen at our hospital and a literature review.

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Cited by 15 publications
(10 citation statements)
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“…Lung adenocarcinoma (LUAD), a leading cause of cancer-related mortality, accounts for ∼40% of NSCLCs and has a 5-year survival rate of only 15% [ 2 ]. At present, patients with LUAD are usually diagnosed at the terminal stage or following metastasis due to the lack of effective biomarkers and obvious early symptoms [ 3 , 4 ]. For more than half a century, even with the significant progress and development made in molecular biology, oncology, and medicinal technology, the treatment of LUAD has been and remains ineffective [ 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…Lung adenocarcinoma (LUAD), a leading cause of cancer-related mortality, accounts for ∼40% of NSCLCs and has a 5-year survival rate of only 15% [ 2 ]. At present, patients with LUAD are usually diagnosed at the terminal stage or following metastasis due to the lack of effective biomarkers and obvious early symptoms [ 3 , 4 ]. For more than half a century, even with the significant progress and development made in molecular biology, oncology, and medicinal technology, the treatment of LUAD has been and remains ineffective [ 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…Non-small cell lung cancer (NSCLC) accounts for 85% of lung cancers, and although its diagnosis during pregnancy is rare (less than 1% of pregnancy-associated cancers) [ 5 ], it is increasing in pregnant women and often occurs at an advanced stage in 98% of cases [ 17 ]. Oncogene mutations are more frequent among cases of NSCLC that occur during pregnancy [ 56 ]. In cases of NSCLC with EGFR activating mutations, the protein kinase inhibitors gefitinib, erlotinib, and osimertinib are standard first-line treatments [ 57 , 58 , 59 ].…”
Section: Resultsmentioning
confidence: 99%
“…In cases of NSCLC with EGFR activating mutations, the protein kinase inhibitors gefitinib, erlotinib, and osimertinib are standard first-line treatments [ 57 , 58 , 59 ]. NSCLC with anaplastic lymphoma kinase (ALK) rearrangement is less frequent than NSCLC with EGFR mutations, and is usually treated with crizotinib or alectinib [ 56 ]. The ESMO clinical practice guidelines recommend the combination of carboplatin and paclitaxel for the treatment of NSCLC during pregnancy, but discourage the use of protein kinase inhibitors given the current lack of data [ 17 ].…”
Section: Resultsmentioning
confidence: 99%
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“…In patients with positive driver gene, targeted therapy might be considered a good choice. 28 , 29 Immunotherapy can be assumed as the next treatment option for pregnant woman with negative driver gene. Flint et al 30 analyzed the feasibility of ICI for pregnant woman undergoing ICI by comparing the immunological similarities and differences between pregnancy and cancer.…”
Section: Pregnancymentioning
confidence: 99%