Recurrent EML4-ALK-associated lung adenocarcinoma with a slow clinical course

被引:11
作者
Murakami, Shuji [1 ]
Yokose, Tomoyuki [2 ]
Saito, Haruhiro [1 ]
Sakuma, Yuji [3 ]
Matsukuma, Shoichi [3 ]
Hasegawa, Chikako [2 ]
Kondo, Tetsuro [1 ]
Oshita, Fumihiro [1 ]
Ito, Hiroyuki [1 ]
Tsuboi, Masahiro [1 ]
Nakayama, Haruhiko [1 ]
Kameda, Youichi [2 ]
Noda, Kazumasa [1 ]
Yamada, Kouzo [1 ]
机构
[1] Kanagawa Canc Ctr Hosp, Dept Thorac Oncol, Asahi Ku, Yokohama, Kanagawa 2410815, Japan
[2] Kanagawa Canc Ctr Hosp, Dept Pathol, Yokohama, Kanagawa 2410815, Japan
[3] Kanagawa Canc Res Inst, Mol Pathol & Genet Div, Kanagawa, Japan
关键词
EML4-ALK; Adenocarcinoma; Signet-ring cell; Recurrence; CANCER; EML4-ALK; MUTATIONS; FEATURES;
D O I
10.1016/j.lungcan.2010.05.019
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The fusion gene EML4-ALK (echinoderm microtubule-associated protein-like 4 gene and the anaplastic lymphoma kinase gene) was recently identified as a novel genetic alteration in non-small-cell lung cancer. The clinicopathological features of EML4-ALK-positive adenocarcinoma are reported to include its high incidence in young, non-smoking patients, tumors that show distinct solid or acinar growth patterns with or without signet-ring cell histology, and its mutually exclusive occurrence with mutations in EGFR and KRAS. However, the clinical findings have not been well described. Here, we report a case of EML4-ALK-positive lung adenocarcinoma that showed multiple metachronous lesions on the pleura and pulmonary field, suspected to be a recurrence of lung adenocarcinoma after a 20-year disease-free interval. The slow clinical course may be characteristic of EML4-ALK-positive lung adenocarcinoma. Therefore, long-term observation of patients with EML4-ALK-positive lung adenocarcinomas is required after surgery. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:361 / 364
页数:4
相关论文
共 12 条
[1]   Anaplastic lymphoma kinase immunoreactivity correlates with ALK gene rearrangement and transcriptional up-regulation in non-small cell lung carcinomas [J].
Boland, Jennifer M. ;
Erdogan, Sibel ;
Vasmatzis, George ;
Yang, Ping ;
Tillmans, Lori S. ;
Johnson, Michele R. Erickson ;
Wang, Xiaoke ;
Peterson, Lisa M. ;
Halling, Kevin C. ;
Oliveira, Andre M. ;
Aubry, Marie Christine ;
Yi, Eunhee S. .
HUMAN PATHOLOGY, 2009, 40 (08) :1152-1158
[2]   Use of Epidermal Growth Factor Receptor/Kirsten Rat Sarcoma 2 Viral Oncogene Homolog Mutation Testing to Define Clonal Relationships Among Multiple Lung Adenocarcinomas Comparison With Clinical Guidelines [J].
Girard, Nicolas ;
Deshpande, Charuhas ;
Azzoli, Christopher G. ;
Rusch, Valerie W. ;
Travis, William D. ;
Ladanyi, Marc ;
Pao, William .
CHEST, 2010, 137 (01) :46-52
[3]   Comprehensive Histologic Assessment Helps to Differentiate Multiple Lung Primary Nonsmall Cell Carcinomas From Metastases [J].
Girard, Nicolas ;
Deshpande, Charuhas ;
Lau, Christopher ;
Finley, David ;
Rusch, Valerie ;
Pao, William ;
Travis, William D. .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2009, 33 (12) :1752-1764
[4]   EML4-ALK lung cancers are characterized by rare other mutations, a TTF-1 cell lineage, an acinar histology, and young onset [J].
Inamura, Kentaro ;
Takeuchi, Kengo ;
Togashi, Yuki ;
Hatano, Satoko ;
Ninomiya, Hironori ;
Motoi, Noriko ;
Mun, Ming-yon ;
Sakao, Yukinori ;
Okumura, Sakae ;
Nakagawa, Ken ;
Soda, Manabu ;
Choi, Young Lim ;
Mano, Hiroyuki ;
Ishikawa, Yuichi .
MODERN PATHOLOGY, 2009, 22 (04) :508-515
[5]  
MARTINI N, 1975, J THORAC CARDIOV SUR, V70, P606
[6]   Rapid and simple detection of hot spot point mutations of epidermal growth factor receptor, BRAF, and NRAS in cancers using the loop-hybrid mobility shift assay [J].
Matsukuma, Shoichi ;
Yoshihara, Mitsuyo ;
Kasai, Furnio ;
Kato, Akinori ;
Yoshida, Akira ;
Akaike, Makoto ;
Kobayashi, Osamu ;
Nakayama, Haruhiko ;
Sakuma, Yuji ;
Yoshida, Tsutomu ;
Kameda, Yoichi ;
Tsuchiya, Eiju ;
Miyagi, Yohei .
JOURNAL OF MOLECULAR DIAGNOSTICS, 2006, 8 (04) :504-512
[7]   Global survey of phosphotyrosine signaling identifies oncogenic kinases in lung cancer [J].
Rikova, Klarisa ;
Guo, Ailan ;
Zeng, Qingfu ;
Possemato, Anthony ;
Yu, Jian ;
Haack, Herbert ;
Nardone, Julie ;
Lee, Kimberly ;
Reeves, Cynthia ;
Li, Yu ;
Hu, Yerong ;
Tan, Zhiping ;
Stokes, Matthew ;
Sullivan, Laura ;
Mitchell, Jeffrey ;
Wetzel, Randy ;
MacNeill, Joan ;
Ren, Jian Min ;
Yuan, Jin ;
Bakalarski, Corey E. ;
Villen, Judit ;
Kornhauser, Jon M. ;
Smith, Bradley ;
Li, Daiqiang ;
Zhou, Xinmin ;
Gygi, Steven P. ;
Gu, Ting-Lei ;
Polakiewicz, Roberto D. ;
Rush, John ;
Comb, Michael J. .
CELL, 2007, 131 (06) :1190-1203
[8]   Unique Clinicopathologic Features Characterize ALK-Rearranged Lung Adenocarcinoma in the Western Population [J].
Rodig, Scott J. ;
Mino-Kenudson, Mari ;
Dacic, Sanja ;
Yeap, Beow Y. ;
Shaw, Alice ;
Barletta, Justine A. ;
Stubbs, Hannah ;
Law, Kenny ;
Lindeman, Neal ;
Mark, Eugene ;
Janne, Pasi A. ;
Lynch, Thomas ;
Johnson, Bruce E. ;
Iafrate, A. John ;
Chirieac, Lucian R. .
CLINICAL CANCER RESEARCH, 2009, 15 (16) :5216-5223
[9]   Follow-up and surveillance of the lung cancer patient following curative intent therapy - ACCP evidence-based clinical practice guideline (2nd edition) [J].
Rubins, Jeffrey ;
Unger, Michael ;
Colice, Gene L. .
CHEST, 2007, 132 (03) :355S-367S
[10]   Clinical Features and Outcome of Patients With Non-Small-Cell Lung Cancer Who Harbor EML4-ALK [J].
Shaw, Alice T. ;
Yeap, Beow Y. ;
Mino-Kenudson, Mari ;
Digumarthy, Subba R. ;
Costa, Daniel B. ;
Heist, Rebecca S. ;
Solomon, Benjamin ;
Stubbs, Hannah ;
Admane, Sonal ;
McDermott, Ultan ;
Settleman, Jeffrey ;
Kobayashi, Susumu ;
Mark, Eugene J. ;
Rodig, Scott J. ;
Chirieac, Lucian R. ;
Kwak, Eunice L. ;
Lynch, Thomas J. ;
Iafrate, A. John .
JOURNAL OF CLINICAL ONCOLOGY, 2009, 27 (26) :4247-4253