Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
ALK -rearrangement neuroendocrine carcinoma of the lung: a comprehensive study of a rare case series and review of literature
Ist Teil von
OncoTargets and therapy, 2018-01, Vol.11, p.4991-4998
Ort / Verlag
New Zealand: Dove Medical Press Limited
Erscheinungsjahr
2018
Link zum Volltext
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Driver mutations involving tyrosine kinase receptors play crucial roles in the oncogenesis of lung adenocarcinoma. However, receptor tyrosine kinase mutations are extremely rare events in primary pulmonary neuroendocrine carcinoma (NEC), which is a molecular heterogeneous entity. In this study, we examined 4 cases of NEC with anaplastic lymphoma kinase (
) rearrangement between 2008 and 2018 at our hospital. We comprehensively analyzed the carcinomas' clinicopathological features, genetic alterations, and response to ALK inhibitor. One case of atypical carcinoid tumor and 1 case of large cell NEC (LCNEC) achieved response to ALK inhibitor (crizotinib) treatment. One case of combined LCNEC with adenocarcinoma harboring
(K9:A20) fusion genes was confirmed by NGS of both components, while only the LCNEC component presented
mutation. Notably, tumor cells of different components exhibited different
-positive signal patterns by fluorescence in situ hybridization, which revealed isolated 3' signals in the adenocarcinoma component but split signals in the LCNEC. As the largest case series study, our findings suggested that preliminary screening for
rearrangement should also be considered in atypical carcinoid and high-grade NEC. Patients with
rearrangement-positive NEC would benefit from ALK inhibitor intervention.