A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma
with EML4-ALK Fusion Gene Positive

Neuroendocrine carcinoma (NEC), a subtype of neuroendocrine tumors with high proliferative activity, is characterized by strong invasiveness and poor prognosis. This article reports a previously healthy female non-smoker who developed NEC occurring sequentially in different lobes of both lungs. The...

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Main Authors: Yin ZHANG, Yue HOU, Tianming ZHANG, Hong WANG
Format: Article
Language:zho
Published: Chinese Anti-Cancer Association; Chinese Antituberculosis Association 2025-03-01
Series:Chinese Journal of Lung Cancer
Subjects:
Online Access:http://dx.doi.org/10.3779/j.issn.1009-3419.2025.102.10
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author Yin ZHANG
Yue HOU
Tianming ZHANG
Hong WANG
author_facet Yin ZHANG
Yue HOU
Tianming ZHANG
Hong WANG
author_sort Yin ZHANG
collection DOAJ
description Neuroendocrine carcinoma (NEC), a subtype of neuroendocrine tumors with high proliferative activity, is characterized by strong invasiveness and poor prognosis. This article reports a previously healthy female non-smoker who developed NEC occurring sequentially in different lobes of both lungs. The lesions were pathologically diagnosed by hematoxylin-eosin (HE) staining as large cell neuroendocrine carcinoma (LCNEC) and small cell lung cancer (SCLC), respectively. Next-generation sequencing (NGS) performed on both lesions revealed the presence of echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (EML4-ALK) fusion mutations in both lesions. Notably, the patient achieved a significant therapeutic response to ALK-tyrosine kinase inhibitors (TKIs) targeted therapy.
format Article
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institution DOAJ
issn 1009-3419
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language zho
publishDate 2025-03-01
publisher Chinese Anti-Cancer Association; Chinese Antituberculosis Association
record_format Article
series Chinese Journal of Lung Cancer
spelling doaj-art-2aae9170d6a84609ae12bbdff628ba082025-08-20T03:06:53ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872025-03-0128323023610.3779/j.issn.1009-3419.2025.102.10A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma
with EML4-ALK Fusion Gene PositiveYin ZHANG0Yue HOU1Tianming ZHANG2Hong WANG3Department of Pulmonary and Critical Care Medicine, Lanzhou University Second Hospital, Lanzhou 730030, ChinaDepartment of Pulmonary and Critical Care Medicine, Lanzhou University Second Hospital, Lanzhou 730030, ChinaDepartment of Pulmonary and Critical Care Medicine, Lanzhou University Second Hospital, Lanzhou 730030, ChinaDepartment of Pulmonary and Critical Care Medicine, Lanzhou University Second Hospital, Lanzhou 730030, ChinaNeuroendocrine carcinoma (NEC), a subtype of neuroendocrine tumors with high proliferative activity, is characterized by strong invasiveness and poor prognosis. This article reports a previously healthy female non-smoker who developed NEC occurring sequentially in different lobes of both lungs. The lesions were pathologically diagnosed by hematoxylin-eosin (HE) staining as large cell neuroendocrine carcinoma (LCNEC) and small cell lung cancer (SCLC), respectively. Next-generation sequencing (NGS) performed on both lesions revealed the presence of echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (EML4-ALK) fusion mutations in both lesions. Notably, the patient achieved a significant therapeutic response to ALK-tyrosine kinase inhibitors (TKIs) targeted therapy.http://dx.doi.org/10.3779/j.issn.1009-3419.2025.102.10lung neoplasmslarge cell neuroendocrine carcinoma of the lungalk mutationtargeted therapy
spellingShingle Yin ZHANG
Yue HOU
Tianming ZHANG
Hong WANG
A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma
with EML4-ALK Fusion Gene Positive
Chinese Journal of Lung Cancer
lung neoplasms
large cell neuroendocrine carcinoma of the lung
alk mutation
targeted therapy
title A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma
with EML4-ALK Fusion Gene Positive
title_full A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma
with EML4-ALK Fusion Gene Positive
title_fullStr A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma
with EML4-ALK Fusion Gene Positive
title_full_unstemmed A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma
with EML4-ALK Fusion Gene Positive
title_short A Case of Multiple Primary Pulmonary Neuroendocrine Carcinoma
with EML4-ALK Fusion Gene Positive
title_sort case of multiple primary pulmonary neuroendocrine carcinoma
with eml4 alk fusion gene positive
topic lung neoplasms
large cell neuroendocrine carcinoma of the lung
alk mutation
targeted therapy
url http://dx.doi.org/10.3779/j.issn.1009-3419.2025.102.10
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