Abstract | INTRODUCTION: METHODS: A total of 487 lung cancer patients who underwent testing for ALK rearrangement in our department were included in this study. ALK rearrangement was examined by using fluorescence in situ hybridization (FISH) assay. RESULTS: Among the 487 patients, 44 (9.0%) were diagnosed with ALK rearrangement by using FISH assay. In 123 patients with adenocarcinoma who were non-smokers and of a young age (≤ 58 years old), the frequency of ALK rearrangement was 20.3% (25/123). Short overall survival (OS) was associated with non- adenocarcinoma tumor type (P = 0.006), poorly differentiated tumors (P = 0.001), advanced-stage tumors (P < 0.001), smoking history (P = 0.008), and wild-type epidermal growth factor receptor (EGFR) (P = 0.008). Moreover, patients with poorly differentiated and advanced-stage tumors had a shorter time to cancer progression compared with those with well differentiated (P = 0.023) and early-stage tumors (P = 0.001), respectively. CONCLUSIONS: ALK-rearranged NSCLC tends to occur in younger individuals who are either non-smokers or light smokers with adenocarcinoma. Patients with ALK rearrangement might benefit from ALK inhibitor therapy.
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Authors | Sha Fu, Hai-Yun Wang, Fang Wang, Ma-Yan Huang, Ling Deng, Xiao Zhang, Zu-Lu Ye, Jian-Yong Shao |
Journal | Chinese journal of cancer
(Chin J Cancer)
Vol. 34
Issue 9
Pg. 404-12
(Aug 08 2015)
ISSN: 1000-467X [Print] England |
PMID | 26253541
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Antineoplastic Agents
- Pyrazoles
- Pyridines
- Crizotinib
- ALK protein, human
- Anaplastic Lymphoma Kinase
- EGFR protein, human
- ErbB Receptors
- Receptor Protein-Tyrosine Kinases
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Topics |
- Adenocarcinoma
- Adenocarcinoma of Lung
- Anaplastic Lymphoma Kinase
- Antineoplastic Agents
- Asian People
- Carcinoma, Non-Small-Cell Lung
- Crizotinib
- ErbB Receptors
- Humans
- In Situ Hybridization, Fluorescence
- Lung Neoplasms
- Pyrazoles
- Pyridines
- Receptor Protein-Tyrosine Kinases
- Risk Factors
- Smoking
- Treatment Outcome
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