Frontiers in Oncology (Aug 2022)

Identification of a novel RMST-ALK rearrangement in advanced lung adenocarcinoma and durable response to ceritinib: A case report

  • Hui Li,
  • Yixiao Deng,
  • Bin Chen,
  • Yajie Xiao,
  • Jie Yang,
  • Qionghui Liu,
  • Gengpeng Lin

DOI
https://doi.org/10.3389/fonc.2022.913838
Journal volume & issue
Vol. 12

Abstract

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Next-generation sequencing technology has enabled the identification of fusion partners of anaplastic lymphoma kinase (ALK) in non-small cell lung cancer, and various ALK fusion partners have been confirmed. Here, a novel rhabdomyosarcoma 2-associated transcript (RMST)-ALK rearrangement was identified in an 80-year-old Chinese man with advanced lung adenocarcinoma. The patient was prescribed ceritinib and achieved a partial response, which has been sustained for more than 18 months. This is the first report of the RMST-ALK rearrangement, and we showed that a patient with lung adenocarcinoma carrying this rearrangement can benefit from ceritinib treatment; therefore, this is a significant finding in clinical practice.

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