PMID- 25676401 OWN - NLM STAT- MEDLINE DCOM- 20151105 LR - 20190221 IS - 1999-6187 (Electronic) IS - 1009-3419 (Print) IS - 1009-3419 (Linking) VI - 18 IP - 2 DP - 2015 Feb TI - [Crizotinib treatment in a lung adenocarcinoma harboring ALK fusion gene with bone marrow metastasis: case report and literature review]. PG - 85-8 LID - 10.3779/j.issn.1009-3419.2015.02.06 [doi] AB - BACKGROUND AND OBJECTIVE: Distant metastasis was common in lung cancer, especially patients with bone marrow metastasis had poor prognosis and there were few effective methods. Crizotinib had been confirmed to be used in anaplastic lymphoma kinase (ALK) positive lung adenocarcinoma, but the efficacy in lung cancer with bone marrow metastasis was unknown. In the present study, we reported one case of ALK-positive lung adenocarcinoma with bone marrow matastasis given crizotinib treatment, the safety and efficacy was summarized. METHODS: ALK fusion was tested by fluorescence in situ hybridization (FISH). Crizotinib was given with dose of 250 mg, bid. Objective response was evaluated by Response Evaluation Criteriation in Solid Tumours (RECIST) v1.1 and bone marrow response was evaluated by bone marrow puncture and biopsy. Adeverse events were evaluated according to Common Terminology Criteria for Adverse Events (CTC AE) v4.0. RESULTS: The patient achieved partial response (PR) after 6 weeks of crizotinib, especially the objective response of bone marrow metastasis was complete response (CR). The patient stopped crizotinib because of pneumonia. The progression free survival (PFS) and overall survival (OS) was 20 weeks and 22 weeks respectively. CONCLUSION: Crizotinib could be an effective method for ALKpositive lung cancer with bone marrow metastasis and showed good tolerance. FAU - Li, Xiaoyan AU - Li X AD - Department of Lung Cancer, 307 Hospital of PLA, Affiliated to Academy of Military Medical Sciences, Beijing 100071, China. FAU - Liu, Xiaoqing AU - Liu X AD - Department of Lung Cancer, 307 Hospital of PLA, Affiliated to Academy of Military Medical Sciences, Beijing 100071, China. FAU - Gao, Fang AU - Gao F AD - Department of Lung Cancer, 307 Hospital of PLA, Affiliated to Academy of Military Medical Sciences, Beijing 100071, China. FAU - Yin, Xiaodan AU - Yin X AD - Department of Lung Cancer, 307 Hospital of PLA, Affiliated to Academy of Military Medical Sciences, Beijing 100071, China. LA - chi PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - China TA - Zhongguo Fei Ai Za Zhi JT - Zhongguo fei ai za zhi = Chinese journal of lung cancer JID - 101126433 RN - 0 (Pyrazoles) RN - 0 (Pyridines) RN - 53AH36668S (Crizotinib) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adenocarcinoma/*drug therapy/enzymology/genetics/pathology MH - Adenocarcinoma of Lung MH - Adult MH - Anaplastic Lymphoma Kinase MH - Bone Marrow Neoplasms/*secondary MH - Crizotinib MH - Female MH - Gene Fusion MH - Humans MH - Lung Neoplasms/*drug therapy/enzymology/genetics/pathology MH - Pyrazoles/*administration & dosage/adverse effects MH - Pyridines/*administration & dosage/adverse effects MH - Receptor Protein-Tyrosine Kinases/*genetics/metabolism MH - Treatment Outcome PMC - PMC5999841 EDAT- 2015/02/14 06:00 MHDA- 2015/11/06 06:00 PMCR- 2015/02/20 CRDT- 2015/02/14 06:00 PHST- 2015/02/14 06:00 [entrez] PHST- 2015/02/14 06:00 [pubmed] PHST- 2015/11/06 06:00 [medline] PHST- 2015/02/20 00:00 [pmc-release] AID - zgfazz-18-2-85 [pii] AID - 10.3779/j.issn.1009-3419.2015.02.06 [doi] PST - ppublish SO - Zhongguo Fei Ai Za Zhi. 2015 Feb;18(2):85-8. doi: 10.3779/j.issn.1009-3419.2015.02.06.