A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma with EML4-ALK Fusion Gene Positive.

Neuroendocrine carcinoma (NEC), a subtype of neuroendocrine tumors with high proliferative activity, is characterized by strong invasiveness and poor prognosis. This article reports a previously healthy female non-smoker who developed NEC occurring sequentially in different lobes of both lungs. The...

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Publicado en:Chinese Journal of Lung Cancer Vol. 28; no. 3; pp. 230 - 237
Autores principales: Yin ZHANG, Yue HOU, Tianming ZHANG, Hong WANG
Formato: case study diagnostic images pictorial Journal Article
Publicado: Chinese Journal of Lung Cancer Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2025
      vid: 28
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      pub: Chinese Journal of Lung Cancer
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        10.3779/j.issn.1009-3419.2025.102.10
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        atl: A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma with EML4-ALK Fusion Gene Positive.
      aug:
        au:
          Yin ZHANG
          Yue HOU
          Tianming ZHANG
          Hong WANG
        affil: Department of Pulmonary and Critical Care Medicine, Lanzhou University Second Hospital, Lanzhou 730030, China
      sug:
        subj:
          Carcinoma, Neuroendocrine Diagnosis
          Carcinoma, Neuroendocrine Therapy
          Carcinoma, Small Cell Diagnosis
          Lung Neoplasms Diagnosis
          Carcinoma, Neuroendocrine Familial and Genetic
          Proteins Analysis
          Female
          Staining and Labeling
          Carcinoma, Neuroendocrine Pathology
          Sequence Analysis
          Immunohistochemistry
          Radiography, Thoracic
          Tomography, X-Ray Computed
          Positron Emission Tomography Computed Tomography
          Bronchoscopy
          Tyrosine Kinase Inhibitors Therapeutic Use
          Protein Kinase Inhibitors Therapeutic Use
          Treatment Outcomes
          Female
      ab: Neuroendocrine carcinoma (NEC), a subtype of neuroendocrine tumors with high proliferative activity, is characterized by strong invasiveness and poor prognosis. This article reports a previously healthy female non-smoker who developed NEC occurring sequentially in different lobes of both lungs. The lesions were pathologically diagnosed by hematoxylineosin (HE) staining as large cell neuroendocrine carcinoma (LCNEC) and small cell lung cancer (SCLC), respectively. Nextgeneration sequencing (NGS) performed on both lesions revealed the presence of echinoderm microtubule-associated proteinlike 4-anaplastic lymphoma kinase (EML4-ALK) fusion mutations in both lesions. Notably, the patient achieved a significant therapeutic response to ALK-tyrosine kinase inhibitors (TKIs) targeted therapy.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: Chinese
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