PMID- 24667260 OWN - NLM STAT- MEDLINE DCOM- 20150129 LR - 20211021 IS - 1999-6187 (Electronic) IS - 1009-3419 (Print) IS - 1009-3419 (Linking) VI - 17 IP - 3 DP - 2014 Mar TI - [The research of clinical pathological features of ALK positive lung cancer in 525 patients and the discussion of detection methods]. PG - 226-32 LID - 10.3779/j.issn.1009-3419.2014.03.08 [doi] AB - BACKGROUND: The fusion (rearrangement) of anaplastic lymphoma kinase (ALK) gene has been identified as an import factor to the tumorigenesis and development of lung cancer. ALK tyrosine kinase inhibitors (ALK-TKIs) have been proved to have good effects to ALK positive lung cancers. The increasement of the relevance ratio of ALK will be very important to patients. The aim of this study is to investigate the clinical pathological features of ALK positive lung cancer, and the roles of immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) in screening and confirming the ALK positive cases in the testing flow of ALK. METHODS: IHC analysis of ALK in tumor specimens was performed on 525 lung cancer patients. 34 cases among them were confirmed by FISH. RESULTS: The positive incidence of ALK by IHC was 5.14% (27/525). The ALK positive patients were significantly younger than ALK negative patients (P<0.05), and femal was predominant (P<0.05). The proportion of solid predominant adenocarcinoma was significantly higher in ALK positive patients (P<0.05). While acinar and lepidic predominant adenocarcinoma were significantly lower in ALK positive patients (P<0.05). FISH was applied in 34 cases. The coincidence rate was increased with the increasement of positive intensity of IHC staining. All the IHC positive cases with or without EGFR mutation must be confirmed by FISH. CONCLUSIONS: IHC is a reliable detection method to screening the ALK in lung cancer, and then enhance the relevance ration. To make a definite diagnosis of ALK positive lung cancer, FISH is a significant detection method. FAU - Zhu, Xiang AU - Zhu X AD - Department of Pathology, Peking University, Health Science Center/Peking University Third Hospital, Beijing 100191, China. FAU - Li, Hongwei AU - Li H AD - Department of Pathology, Beijing Chui Yang Liu Hospital, Beijing 100022, China. FAU - Cao, Baoshan AU - Cao B AD - Department of Oncology and Radiation Sickness, Cancer Center, Peking University Third Hospital, Beijing 100191, China. FAU - Liu, Chen AU - Liu C AD - Department of Radiology, Peking University Third Hospital, Beijing 100191, China. FAU - Liang, Li AU - Liang L AD - Department of Oncology and Radiation Sickness, Cancer Center, Peking University Third Hospital, Beijing 100191, China. FAU - Wang, Yuxiang AU - Wang Y AD - Department of Pathology, Peking University, Health Science Center/Peking University Third Hospital, Beijing 100191, China. FAU - You, Jiangfeng AU - You J AD - Department of Pathology, Peking University, Health Science Center/Peking University Third Hospital, Beijing 100191, China. FAU - Gao, Fei AU - Gao F AD - Gene Tech (Shanghai) Company Limited, Beijing 100053, China. FAU - Ma, Xiaolong AU - Ma X AD - Department of Pathology, Peking University, Health Science Center/Peking University Third Hospital, Beijing 100191, China. FAU - Liu, Yan AU - Liu Y AD - Department of Pathology, Peking University, Health Science Center/Peking University Third Hospital, Beijing 100191, China. FAU - Wang, Hua AU - Wang H AD - Department of Pathology, Peking University, Health Science Center/Peking University Third Hospital, Beijing 100191, China. FAU - Zhang, Yan AU - Zhang Y AD - Department of Pathology, Peking University, Health Science Center/Peking University Third Hospital, Beijing 100191, China. FAU - Chen, Jian AU - Chen J AD - Department of Pathology, Peking University, Health Science Center/Peking University Third Hospital, Beijing 100191, China. FAU - Zhang, Bo AU - Zhang B AD - Department of Pathology, Peking University, Health Science Center/Peking University Third Hospital, Beijing 100191, China. LA - chi PT - Journal Article PL - China TA - Zhongguo Fei Ai Za Zhi JT - Zhongguo fei ai za zhi = Chinese journal of lung cancer JID - 101126433 RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Anaplastic Lymphoma Kinase MH - ErbB Receptors/genetics/metabolism MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/diagnosis/*enzymology/genetics/*pathology MH - Male MH - Middle Aged MH - Receptor Protein-Tyrosine Kinases/genetics/*metabolism PMC - PMC6019375 EDAT- 2014/03/29 06:00 MHDA- 2015/01/30 06:00 PMCR- 2014/03/20 CRDT- 2014/03/27 06:00 PHST- 2014/03/27 06:00 [entrez] PHST- 2014/03/29 06:00 [pubmed] PHST- 2015/01/30 06:00 [medline] PHST- 2014/03/20 00:00 [pmc-release] AID - zgfazz-17-3-226 [pii] AID - 10.3779/j.issn.1009-3419.2014.03.08 [doi] PST - ppublish SO - Zhongguo Fei Ai Za Zhi. 2014 Mar;17(3):226-32. doi: 10.3779/j.issn.1009-3419.2014.03.08.