PMID- 36792084 OWN - NLM STAT- MEDLINE DCOM- 20230217 LR - 20230405 IS - 1999-6187 (Electronic) IS - 1009-3419 (Print) IS - 1009-3419 (Linking) VI - 26 IP - 1 DP - 2023 Jan 20 TI - [Lung Squamous Cell Carcinoma with EML4-ALK Fusion and TP53 Co-mutation 
Treated with Ensartinib: A Case Report and Literature Review]. PG - 78-82 LID - 10.3779/j.issn.1009-3419.2023.106.03 [doi] AB - Lung squamous cell carcinoma (LSCC) accounts for approximately 30% of non-small cell lung cancer (NSCLC) cases and is the second most common histological type of lung cancer. Anaplastic lymphoma kinase (ALK)-positive NSCLC accounts for only 2%-5% of all NSCLC cases, and is almost exclusively detected in patients with lung adenocarcinoma. Thus, ALK testing is not routinely performed in the LSCC population, and the efficacy of such treatment for ALK-rearranged LSCC remains unknown. Echinoderm microtubule associated protein like 4 (EML4)-ALK (V1) and TP53 co-mutations were identified by next generation sequencing (NGS) in this patient with advanced LSCC. On December 3, 2020, Ensatinib was taken orally and the efficacy was evaluated as partial response (PR). The progression-free survival (PFS) was 19 months. When the disease progressed, the medication was changed to Loratinib. To our knowledge, Enshatinib created the longest PFS of ALK-mutant LSCC patients treated with targeted therapy since literature review. Herein, we described one case treated by Enshatinib involving a patient with both EML4-ALK and TP53 positive LSCC, and the relevant literatures were reviewed for discussing the treatment of this rare disease.
. FAU - Lv, Donglai AU - Lv D AD - Department of Medical Oncology, 901 Hospital of Joint Logistics Support Force of People Liberation Army, Hefei 230031, China. FAU - Xu, Chunwei AU - Xu C AD - Department of Respiratory and Critical Care Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China. FAU - Wang, Chong AU - Wang C AD - Department of Medical Oncology, 901 Hospital of Joint Logistics Support Force of People Liberation Army, Hefei 230031, China. FAU - Sang, Qiuju AU - Sang Q AD - Department of Medical Oncology, 901 Hospital of Joint Logistics Support Force of People Liberation Army, Hefei 230031, China. LA - chi PT - Case Reports PT - English Abstract PT - Journal Article PT - Review PL - China TA - Zhongguo Fei Ai Za Zhi JT - Zhongguo fei ai za zhi = Chinese journal of lung cancer JID - 101126433 RN - SMA5ZS5B22 (ensartinib) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - 0 (Cytoskeletal Proteins) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Protein Kinase Inhibitors) RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - 0 (EML4-ALK fusion protein, human) SB - IM MH - Humans MH - *Carcinoma, Non-Small-Cell Lung/drug therapy MH - *Lung Neoplasms/drug therapy/genetics/pathology MH - Anaplastic Lymphoma Kinase/genetics/metabolism MH - *Carcinoma, Squamous Cell/drug therapy/genetics MH - Mutation MH - Cytoskeletal Proteins/genetics MH - Lung/pathology MH - Oncogene Proteins, Fusion/genetics MH - Protein Kinase Inhibitors/therapeutic use MH - Tumor Suppressor Protein p53/genetics PMC - PMC9987096 OTO - NOTNLM OT - ALK fusion gene OT - Ensartinib OT - Lorlatinib OT - Lung neoplasms OT - Tp53 EDAT- 2023/02/16 06:00 MHDA- 2023/02/18 06:00 PMCR- 2023/01/20 CRDT- 2023/02/15 20:23 PHST- 2023/02/15 20:23 [entrez] PHST- 2023/02/16 06:00 [pubmed] PHST- 2023/02/18 06:00 [medline] PHST- 2023/01/20 00:00 [pmc-release] AID - 10.3779/j.issn.1009-3419.2023.106.03 [doi] PST - ppublish SO - Zhongguo Fei Ai Za Zhi. 2023 Jan 20;26(1):78-82. doi: 10.3779/j.issn.1009-3419.2023.106.03.