Acquired Platinum Resistance of BRCA1-associated Ovarian Cancer after Neoadjuvant Chemotherapy
https://doi.org/10.31550/1727-2378-2022-21-5-87-91
Abstract
Objective of the Paper: To individualise the treatment programme for patients with advanced BRCA-associated ovarian cancer.
Key points. Ovarian cancer is a highly aggressive disease characterized by low overall survival rates. The search for molecular markers, predictors of the effectiveness of drug therapy, is an urgent area of research. The article describes a clinical case of a fundamentally new approach to the combined treatment of a patient with BRCA1-associated advanced ovarian cancer.
Conclusion. Molecular testing proved tumor resistance, which evolved during neoadjuvant therapy, so adjustment of the drug regimen was required. A comprehensive approach in the assessment of molecular genetic status and tumor prevalence allows to individualize the treatment program for patients with advanced BRCA-associated ovarian cancer.
About the Authors
T. V. GorodnovaRussian Federation
68 Leningradskaya Str., Pesochny, Saint Petersburg, 197758
A. P. Sokolenko
Russian Federation
68 Leningradskaya Str., Pesochny, Saint Petersburg, 197758
2 Litovskaya Str., Saint Petersburg, 194100
Kh. B. Kotiv
Russian Federation
68 Leningradskaya Str., Pesochny, Saint Petersburg, 197758
41 Kirochnaya Str., Saint Petersburg, 191015
A. O. Ivantsov
Russian Federation
68 Leningradskaya Str., Pesochny, Saint Petersburg, 197758
E. A. Nekrasova
Russian Federation
68 Leningradskaya Str., Pesochny, Saint Petersburg, 197758
Z. N. Ibragimov
Russian Federation
2 Zaozеrnaya Str., Kuzmolovsky, Saint Petersburg, 191014
I. V. Berlev
Russian Federation
68 Leningradskaya Str., Pesochny, Saint Petersburg, 197758
41 Kirochnaya Str., Saint Petersburg, 191015
E. N. Imyanitov
Russian Federation
68 Leningradskaya Str., Pesochny, Saint Petersburg, 197758
2 Litovskaya Str., Saint Petersburg, 194100
References
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4. Gorodnova T.V., Kotiv K.B., Ivantsov A.O., Mikheyeva O.N. et al. Efficacy of neoadjuvant therapy with Cisplatin plus Mitomycin C in BRCA1-mutated ovarian cancer. Int. J. Gynecol. Cancer. 2018; 28(8): 1498–506. DOI: 10.1097/IGC.0000000000001352
5. Imyanitov E., Sokolenko A., Gorodnova T., Savonevich E. et al. Primary ovarian carcinomas arising in BRCA1 mutation carriers contain a small fraction of BRCA1-proficient cells with rapidly repopulate tumor mass during neoadjuvant chemotherapy but become outgrown by BRCA1-deficient clones during platinum — free intervals. Ann. Oncol. 2019; 30(S5): 763. DOI: https://doi.org/10.1093/annonc/mdz268.006
Review
For citations:
Gorodnova T.V., Sokolenko A.P., Kotiv Kh.B., Ivantsov A.O., Nekrasova E.A., Ibragimov Z.N., Berlev I.V., Imyanitov E.N. Acquired Platinum Resistance of BRCA1-associated Ovarian Cancer after Neoadjuvant Chemotherapy. Title. 2022;21(5):87-91. (In Russ.) https://doi.org/10.31550/1727-2378-2022-21-5-87-91