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A Case Report of Korean Medicine Treatment of Non-small Cell Lung Cancer with Pleural Metastasis Following Targeted Chemotherapy with Afatinib

Afatinib 표적항암치료를 시행 중인 흉막 전이된 비소세포폐암 환자의 한방치료 증례보고

  • Kim, Kyun Ha (National Clinical Research Center for Korean Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Kang, Hee-kyung (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Kim, So-yeon (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Han, Chang-woo (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Park, Seong-ha (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Yun, Young-ju (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Lee, In (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Kwon, Jung-nam (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Hong, Jin-woo (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Choi, Jun-Yong (National Clinical Research Center for Korean Medicine, Korean Medicine Hospital of Pusan National University)
  • 김균하 (부산대한방병원 한의약임상연구센터) ;
  • 강희경 (부산대학교한방병원 한방내과) ;
  • 김소연 (부산대학교한방병원 한방내과) ;
  • 한창우 (부산대학교한방병원 한방내과) ;
  • 박성하 (부산대학교한방병원 한방내과) ;
  • 윤영주 (부산대학교한방병원 한방내과) ;
  • 이인 (부산대학교한방병원 한방내과) ;
  • 권정남 (부산대학교한방병원 한방내과) ;
  • 홍진우 (부산대학교한방병원 한방내과) ;
  • 최준용 (부산대한방병원 한의약임상연구센터)
  • Received : 2020.11.13
  • Accepted : 2020.12.23
  • Published : 2020.12.30

Abstract

Objective: The purpose of this study was to report the effect of Korean medicine on a patient with non-small cell lung cancer with pleural metastasis who had been treated with afatinib. Method: A 61-year old female patient with non-small cell lung cancer with pleural metastasis was treated with acupuncture and herbal medicines, including Yijung-tang, Haengso-tang, Samchulkunbi-tang, Paeamju-bang (Feiai zhu fang), to control various symptoms caused by afatinib. The degree of pain was assessed by a numeric rating scale (NRS) and the quality of life was determined with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, Core 30 (EORTC QLQ-C30) and the EORTC 13-item lung cancer-specific module (EORTC LC-13). Results: After receiving acupuncture and herbal medicines, the patient showed improvement in her back and chest pain, according to the NRS score. Similarly, the Korean medicinal treatments significantly relieved her nausea, vomiting, diarrhea, hemoptysis, and alopecia. However, the EORTC QLQ-C30 assessment suggested that Korean medicinal treatments did not significantly improve the global health status of this patient. Conclusion: Korean medicine could be useful in relieving some of the symptoms occurring after conventional afatinib treatments.

Keywords

References

  1. Duffy MJ, O'Byrne K. Tissue and Blood Biomarkers in Lung Cancer: A Review. Adv Clin Chem 2018;86:1-21. https://doi.org/10.1016/bs.acc.2018.05.001
  2. Boolell V, Alamgeer M, Watkins DN, Ganju V. The Evolution of Therapies in Non-Small Cell Lung Cancer. Cancers (Basel) 2015;7(3):1815-46. https://doi.org/10.3390/cancers7030864
  3. Zylla D, Kuskowski MA, Gupta K, Gupta P. Association of opioid requirement and cancer pain with survival in advanced non-small cell lung cancer. Br J Anaesth 2014;113(Suppl 1):i109-i16. https://doi.org/10.1093/bja/aeu351
  4. Kim S, Park H. The effects of auricular acupressure on pain and quality of life in patients with lung cancer. JKAIS 2020;20(8):75-86.
  5. Shim SH, Seo HJ, Seo HB, Cho IH, Lee C, Kim SY, et al. Traditional Korean Medicine for Non-Small Cell Lung Cancer Patient Undergoing Pembrolizumab Immunotherapy: A Case Report. J Int Korean Med 2019;40(4):709-22. https://doi.org/10.22246/jikm.2019.40.4.709
  6. Li SG, Chen HY, Ou-Yang CS, Wang XX, Yang ZJ, Tong Y, et al. The efficacy of Chinese herbal medicine as an adjunctive therapy for advanced non-small cell lung cancer: a systematic review and meta-analysis. PLoS One 2013;8(2):e57604. https://doi.org/10.1371/journal.pone.0057604
  7. Kim JH, Bae KR, Park SJ, Cho CK, Yoo HS. A case of Patient with Recurring Non-small Cell Lung Carcinoma Treated with Samchilchooncho-Jung in Conjunction with Afatinib. J Int Korean Med 2017;38(1):72-80. https://doi.org/10.22246/jikm.2017.38.1.72
  8. Shim SH, Seo HJ, Choi JY, Bae GE, Seo HB, Kim SY, et al. Traditional Korean Medicine for Skin Toxic Side Effects from Afatinib in a Non-Small Cell Lung Cancer Patient: A Case Report. J Int Korean Med 2018;39(5):973-83. https://doi.org/10.22246/jikm.2018.39.5.973
  9. Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY, et al. Validation of the Korean version of the EORTC QLQ-C30. Quality of life research 2004;13(4):863-8. https://doi.org/10.1023/B:QURE.0000021692.81214.70
  10. Bergman B, Aaronson NK, Ahmedzai S, Kaasa S, Sullivan M, Life ESGoQo. The EORTC QLQ-LC13: a modular supplement to the EORTC core quality of life questionnaire (QLQ-C30) for use in lung cancer clinical trials. European journal of cancer 1994;30(5):635-42. https://doi.org/10.1016/0959-8049(94)90535-5
  11. Harvey RD, Adams VR, Beardslee T, Medina P. Afatinib for the treatment of EGFR mutation-positive NSCLC: A review of clinical findings. J Oncol Pharm Pract 2020;26(6):1461-74. https://doi.org/10.1177/1078155220931926
  12. Ding PN, Lord SJ, Gebski V, Links M, Bray V, Gralla RJ, et al. Risk of Treatment-Related Toxicities from EGFR Tyrosine Kinase Inhibitors: A Meta-analysis of Clinical Trials of Gefitinib, Erlotinib, and Afatinib in Advanced EGFR-Mutated Non-Small Cell Lung Cancer. J Thorac Oncol 2017;12(4):633-43. https://doi.org/10.1016/j.jtho.2016.11.2236
  13. Shin HM, Kim GW. A study on the Physiology of the Lung by 'Un Qi' and the clinical meaning of its Phyological Systems. Journal of Korean Medicine 1997;18(2):5-14.
  14. Nasrullah N, Sang J, Alam MS, Mateen M, Cai B, Hu H. Automated Lung Nodule Detection and Classification Using Deep Learning Combined with Multiple Strategies. Sensors(Basel) 2019;19(17):3722-41.
  15. Kasymjanova G, Grossman M, Tran T, Jagoe RT, Cohen V, Pepe C, et al. The potential role for acupuncture in treating symptoms in patients with lung cancer: an observational longitudinal study. Curr Oncol 2013;20(3):152-7. https://doi.org/10.3747/co.20.1312
  16. Hwang DY. Sin-Jeoung Bang-Yak-Hap-Pyeon (新增方藥合編). Seoul: Yeong-Rim-Sa; 2010, p. 124.
  17. Cheng Y, Gong F, Li A, Wen Z, Wang G, Lu Y. Preventive and therapeutic effects of Jiawei Lizhong Decoction on nausea and vomiting in patients with breast cancer chemotherapy. Journal of Sichuan Traditional Chinese Medicine 2013;5:90-1.
  18. Zou C. Clinical Observation on the Treatment of Diarrhea Irritable Bowel Syndrome with Spleen Deficiency and Dampness Syndrome with Shenzhu Jianpi Decoction and Ginger-separated Moxibustion. Journal of Sichuan of Traditional Medicine 2016;6(3):161-3.
  19. Heo J. Dong-Eui Bo Gam. Seoul: Yeogang Press; 1994, p. 1702.
  20. Lim DH, Lee JE, Han YJ, Hwang JH, Cho CJ, Bae HH, et al. Effects of HaengSoTang (HST), Gami-PalMiHwan(GPMH) on mucin secretion from airway goblet cells. J Int Korean Med 2005;26(1):221-8.
  21. Chen S, Zhang L. Integrated Chinese and Western Medicine Teatment of Tumor. Beijing: People's Medical Publishing House; 2001, p. 336-41.
  22. Polanski J, Chabowski M, Chudiak A, Uchmanowicz B, Janczak D, Rosinczuk J, et al. Intensity of Anxiety and Depression in Patients with Lung Cancer in Relation to Quality of Life. Adv Exp Med Biol 2018;1023:29-36.

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