Case Report: Gefitinib in EGFR 19del recurrent aggressive fibromatosis

We present the first case of a male patient with an epidermal growth factor receptor (EGFR) 19del mutation who was diagnosed with intra-abdominal aggressive fibromatosis and familial adenomatous polyposis. We assessed the clinical response of the patient to first-generation EGFR-tyrosine kinase inhi...

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Main Authors: Yanjing Guo, Jingjing Wu, Qianming Bai, Juefeng Wan, Qifeng Wang, Xinhong He, Xiaowei Zhang, Zhiguo Luo, Liju Xing, Xin Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1537714/full
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author Yanjing Guo
Yanjing Guo
Jingjing Wu
Qianming Bai
Qianming Bai
Juefeng Wan
Juefeng Wan
Juefeng Wan
Qifeng Wang
Qifeng Wang
Xinhong He
Xinhong He
Xiaowei Zhang
Xiaowei Zhang
Zhiguo Luo
Zhiguo Luo
Liju Xing
Xin Liu
Xin Liu
author_facet Yanjing Guo
Yanjing Guo
Jingjing Wu
Qianming Bai
Qianming Bai
Juefeng Wan
Juefeng Wan
Juefeng Wan
Qifeng Wang
Qifeng Wang
Xinhong He
Xinhong He
Xiaowei Zhang
Xiaowei Zhang
Zhiguo Luo
Zhiguo Luo
Liju Xing
Xin Liu
Xin Liu
author_sort Yanjing Guo
collection DOAJ
description We present the first case of a male patient with an epidermal growth factor receptor (EGFR) 19del mutation who was diagnosed with intra-abdominal aggressive fibromatosis and familial adenomatous polyposis. We assessed the clinical response of the patient to first-generation EGFR-tyrosine kinase inhibitors (EGFR-TKIs). A remarkable sustained partial response was achieved with the application of gefitinib after progression on multiple lines of therapy. The main adverse event of gefitinib treatment in this patient was a grade 2 rash. (Funded by the National Natural Science Foundation of China [Grant No. 82003061] and the Shanghai Sailing Program [20YF1408800] to Yanjing Guo, the Natural Science Foundation of Shanghai [Grant No. 24ZR1412800] to Xin Liu).
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institution Kabale University
issn 2234-943X
language English
publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-9b14c704a61a4ea4bbf68b4f108da37b2025-08-20T03:50:22ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-07-011510.3389/fonc.2025.15377141537714Case Report: Gefitinib in EGFR 19del recurrent aggressive fibromatosisYanjing Guo0Yanjing Guo1Jingjing Wu2Qianming Bai3Qianming Bai4Juefeng Wan5Juefeng Wan6Juefeng Wan7Qifeng Wang8Qifeng Wang9Xinhong He10Xinhong He11Xiaowei Zhang12Xiaowei Zhang13Zhiguo Luo14Zhiguo Luo15Liju Xing16Xin Liu17Xin Liu18Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Multidisciplinary Oncology, Fuzhou First General Hospital Affiliated with Fujian Medical University, Fujian, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, ChinaShanghai Clinical Research Center for Radiation Oncology, Shanghai Key Laboratory of Radiation Oncology, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Interventional Radiology, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Oncology, Jiangyin Traditional Chinese Medicine Hospital, Jiangyin, ChinaDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaWe present the first case of a male patient with an epidermal growth factor receptor (EGFR) 19del mutation who was diagnosed with intra-abdominal aggressive fibromatosis and familial adenomatous polyposis. We assessed the clinical response of the patient to first-generation EGFR-tyrosine kinase inhibitors (EGFR-TKIs). A remarkable sustained partial response was achieved with the application of gefitinib after progression on multiple lines of therapy. The main adverse event of gefitinib treatment in this patient was a grade 2 rash. (Funded by the National Natural Science Foundation of China [Grant No. 82003061] and the Shanghai Sailing Program [20YF1408800] to Yanjing Guo, the Natural Science Foundation of Shanghai [Grant No. 24ZR1412800] to Xin Liu).https://www.frontiersin.org/articles/10.3389/fonc.2025.1537714/fullaggressive fibromatosisEGFR 19deltargeted therapygefitinibpartial response
spellingShingle Yanjing Guo
Yanjing Guo
Jingjing Wu
Qianming Bai
Qianming Bai
Juefeng Wan
Juefeng Wan
Juefeng Wan
Qifeng Wang
Qifeng Wang
Xinhong He
Xinhong He
Xiaowei Zhang
Xiaowei Zhang
Zhiguo Luo
Zhiguo Luo
Liju Xing
Xin Liu
Xin Liu
Case Report: Gefitinib in EGFR 19del recurrent aggressive fibromatosis
Frontiers in Oncology
aggressive fibromatosis
EGFR 19del
targeted therapy
gefitinib
partial response
title Case Report: Gefitinib in EGFR 19del recurrent aggressive fibromatosis
title_full Case Report: Gefitinib in EGFR 19del recurrent aggressive fibromatosis
title_fullStr Case Report: Gefitinib in EGFR 19del recurrent aggressive fibromatosis
title_full_unstemmed Case Report: Gefitinib in EGFR 19del recurrent aggressive fibromatosis
title_short Case Report: Gefitinib in EGFR 19del recurrent aggressive fibromatosis
title_sort case report gefitinib in egfr 19del recurrent aggressive fibromatosis
topic aggressive fibromatosis
EGFR 19del
targeted therapy
gefitinib
partial response
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1537714/full
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