Case report: Emerging therapies for transformed small cell lung cancer: efficacy of serplulimab and a comprehensive case report

This research reports a case of histological transformation from non-small cell lung cancer (NSCLC) to transformed small cell lung cancer (T-SCLC) in a patient undergoing EGFR-tyrosine kinase inhibitors (TKIs). The aggressive characteristics of the tumor diverged significantly from those commonly as...

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Main Authors: Heng-Xu Lyu, Wen-Hua Ma, Yong-Qian Zhang, Hui Jin, Yu-Dong Wang, Min Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-09-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1406515/full
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author Heng-Xu Lyu
Wen-Hua Ma
Yong-Qian Zhang
Hui Jin
Yu-Dong Wang
Min Zhao
author_facet Heng-Xu Lyu
Wen-Hua Ma
Yong-Qian Zhang
Hui Jin
Yu-Dong Wang
Min Zhao
author_sort Heng-Xu Lyu
collection DOAJ
description This research reports a case of histological transformation from non-small cell lung cancer (NSCLC) to transformed small cell lung cancer (T-SCLC) in a patient undergoing EGFR-tyrosine kinase inhibitors (TKIs). The aggressive characteristics of the tumor diverged significantly from those commonly associated with lung adenocarcinomas, leading to further histological analysis. The subsequent histological examination confirmed the transformation to SCLC, consistent with established mechanisms of acquired resistance in NSCLC. Given the limited therapeutic options, the patient was administered a serplulimab-based immunochemotherapy regimen, achieving a progression-free survival (PFS) of 6 months post-transformation. The study underscores the potential of PD-1 inhibitors, particularly serplulimab, in the treatment landscape for T-SCLC and highlights the need for future comprehensive research.
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spelling doaj-art-f3389cde37e045c8b66285ae02b241592025-08-20T01:54:42ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-09-011110.3389/fmed.2024.14065151406515Case report: Emerging therapies for transformed small cell lung cancer: efficacy of serplulimab and a comprehensive case reportHeng-Xu Lyu0Wen-Hua Ma1Yong-Qian Zhang2Hui Jin3Yu-Dong Wang4Min Zhao5Department of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Medical Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Medical Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, ChinaThis research reports a case of histological transformation from non-small cell lung cancer (NSCLC) to transformed small cell lung cancer (T-SCLC) in a patient undergoing EGFR-tyrosine kinase inhibitors (TKIs). The aggressive characteristics of the tumor diverged significantly from those commonly associated with lung adenocarcinomas, leading to further histological analysis. The subsequent histological examination confirmed the transformation to SCLC, consistent with established mechanisms of acquired resistance in NSCLC. Given the limited therapeutic options, the patient was administered a serplulimab-based immunochemotherapy regimen, achieving a progression-free survival (PFS) of 6 months post-transformation. The study underscores the potential of PD-1 inhibitors, particularly serplulimab, in the treatment landscape for T-SCLC and highlights the need for future comprehensive research.https://www.frontiersin.org/articles/10.3389/fmed.2024.1406515/fulltransformed small cell lung cancer (T-SCLC)immune checkpoint inhibitors (ICIs)immunotherapynon-small cell lung cancer (NSCLC)case report
spellingShingle Heng-Xu Lyu
Wen-Hua Ma
Yong-Qian Zhang
Hui Jin
Yu-Dong Wang
Min Zhao
Case report: Emerging therapies for transformed small cell lung cancer: efficacy of serplulimab and a comprehensive case report
Frontiers in Medicine
transformed small cell lung cancer (T-SCLC)
immune checkpoint inhibitors (ICIs)
immunotherapy
non-small cell lung cancer (NSCLC)
case report
title Case report: Emerging therapies for transformed small cell lung cancer: efficacy of serplulimab and a comprehensive case report
title_full Case report: Emerging therapies for transformed small cell lung cancer: efficacy of serplulimab and a comprehensive case report
title_fullStr Case report: Emerging therapies for transformed small cell lung cancer: efficacy of serplulimab and a comprehensive case report
title_full_unstemmed Case report: Emerging therapies for transformed small cell lung cancer: efficacy of serplulimab and a comprehensive case report
title_short Case report: Emerging therapies for transformed small cell lung cancer: efficacy of serplulimab and a comprehensive case report
title_sort case report emerging therapies for transformed small cell lung cancer efficacy of serplulimab and a comprehensive case report
topic transformed small cell lung cancer (T-SCLC)
immune checkpoint inhibitors (ICIs)
immunotherapy
non-small cell lung cancer (NSCLC)
case report
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1406515/full
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