PMID- 33565277 OWN - NLM STAT- MEDLINE DCOM- 20211119 LR - 20211119 IS - 1759-7714 (Electronic) IS - 1759-7706 (Print) IS - 1759-7706 (Linking) VI - 12 IP - 7 DP - 2021 Apr TI - ALK-rearranged squamous cell carcinoma of the lung. PG - 1106-1114 LID - 10.1111/1759-7714.13818 [doi] AB - BACKGROUND: ALK rearrangement is a very rare subset of squamous cell carcinoma (SCC) and one of the clinical features in patients is lack of data. Here, we report eight patients diagnosed with SCC of the lung harboring ALK rearrangement. METHODS: We collected primary NSCLC samples at the Beijing Chest Hospital between January 2012 and December 2018 for Ventana (D5F3) immunohistochemical detection. Among the 148 patients was diagnosed ALK-rearranged non small cell lung cancer (NSCLC), only eight cases was SCC. We collected patients information from electronic patent records (EPRs). RESULTS: The eight cases of SCC were diagnosed by immunohistochemistry (IHC). Two were given crizotinib as second-line therapy. One patient had stable disease (SD) and progression-free survival (PFS) of six months. The other patient had progressive disease (PD) but PFS was only one month. The side effects were tolerable. This report identified 31 cases of ALK rearrangement in SCC patients from a literature search (including the eight patients in this study). These fusion genes are often seen in a younger age group (mean age: 55.6 years) and non-smokers (18/31, 58.1%). A total of 20 cases received an ALK inhibitor as first- or second-line treatment which included 11 with a partial response (PR), four with SD, and five with PD. The DCR and ORR was 75.0% (15/20) and 55.0% (11/20), respectively. The median duration time of therapy was 6.4 +/- 4.4 months. CONCLUSIONS: Patients with ALK-rearranged SCC obtained clinical benefit from ALK-inhibitor therapy, especially those who were non-smokers and whose tumors had been identified by IHC+/FISH+. CI - (c) 2021 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. FAU - Meng, Qiyi AU - Meng Q AD - Department of Medical Oncology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China. FAU - Dong, Yujie AU - Dong Y AD - Department of Pathology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China. FAU - Tao, Hong AU - Tao H AD - Department of Medical Oncology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China. FAU - Shi, Liang AU - Shi L AD - Department of Medical Oncology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China. FAU - Tong, Li AU - Tong L AD - Department of Medical Oncology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China. FAU - Tang, Junfang AU - Tang J AD - Department of Medical Oncology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China. FAU - Zhang, Shucai AU - Zhang S AD - Department of Medical Oncology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China. FAU - Liu, Zhe AU - Liu Z AD - Department of Medical Oncology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China. LA - eng PT - Case Reports PT - Journal Article DEP - 20210209 PL - Singapore TA - Thorac Cancer JT - Thoracic cancer JID - 101531441 RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) SB - IM MH - Adult MH - Aged MH - Anaplastic Lymphoma Kinase/*metabolism MH - Carcinoma, Squamous Cell/*genetics/pathology MH - Female MH - Humans MH - Lung Neoplasms/*genetics/pathology MH - Male MH - Middle Aged PMC - PMC8017260 OTO - NOTNLM OT - ALK inhibitor drug OT - ALK rearrangement OT - PDL1 OT - immunotherapy OT - squamous cell carcinoma EDAT- 2021/02/11 06:00 MHDA- 2021/11/20 06:00 PMCR- 2021/04/01 CRDT- 2021/02/10 06:04 PHST- 2020/12/15 00:00 [revised] PHST- 2020/10/30 00:00 [received] PHST- 2020/12/15 00:00 [accepted] PHST- 2021/02/11 06:00 [pubmed] PHST- 2021/11/20 06:00 [medline] PHST- 2021/02/10 06:04 [entrez] PHST- 2021/04/01 00:00 [pmc-release] AID - TCA13818 [pii] AID - 10.1111/1759-7714.13818 [doi] PST - ppublish SO - Thorac Cancer. 2021 Apr;12(7):1106-1114. doi: 10.1111/1759-7714.13818. Epub 2021 Feb 9.