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. 2026 Mar 16;13:1784222. doi: 10.3389/fmed.2026.1784222

Table 2.

KRAS G13C case reports.

Disease Sex/Age (years) Target mutation Symptoms Treatment regimen mPFS (months) mOS (months)
I. Rosai–Dorfman disease Male/50 G13C Fatigue, lymphadenopathy, rash
  1. Prednisone (PO 40 mg QD) + rituximab (intravenous 500 mg/m2 weekly ×4, then q2mo)

  2. Lenalidomide (15 mg QD) + dexamethasone (4 mg QD)

  3. Sirolimus (PO 4 mg titrated to 6 mg QD)

18 /
II. RAS-related LPD Female/11 G13C Splenomegaly, bleeding Sirolimus (1 mg/m2/day PO) / /
III. ITP + HSP + intestinal Behçet’s Male/3 G13C Abd. pain, purpura, arthralgia
  1. Prednisone (PO, dose escalated on relapse)

  2. Adalimumab (q2w × 13 mo) + prednisone taper

13 /
IV. Rosai–Dorfman + SLE Male/15 G13C Lymphadenopathy (SVC obstruction), pericardial effusion Prednisone (PO) + methotrexate + azathioprine + rituximab (intravenous monthly ×6) / /
V. Primary sarcomatoid carcinoma of small intestine Male/54 G13C Abd. distension, obstruction Surgery + chemotherapy (ifosfamide + epirubicin) 2 2
VI. RAS-related ALPS Female/11 G13C Fever, rash, hepatosplenomegaly Rituximab (intravenous weekly ×4, then monthly ×11) 24 24

PO, per OS; QD, quaque die; q2mo, quaque every 2 months; q2w, quaque 2 weeks; LPD, lymphoproliferative disease; ITP, immune thrombocytopenic purpura; HSP, Henoch–Schönlein purpura; Abd, abdominal; SVC, superior vena cava; SLE, systemic lupus erythematosus; MTX, methotrexate; AZA, azathioprine; ALPS, autoimmune lymphoproliferative syndrome.