Case Report: A rare case of non-small cell lung cancer with STRN-ALK fusion in a patient in very poor condition treated with first-line ensartinib

Several cases of STRN-ALK fusion have been reported, and some anaplastic lymphoma kinase (ALK) inhibitors have been shown to be effective for treatment. Nevertheless, no cases of COVID-19 leading to heart failure and respiratory failure have been reported in people older than 70 years treated with A...

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Main Authors: Guo-qiang Song, Yi-zhong Li, Weiliang Kong, Guo-qiang Hu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1235679/full
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author Guo-qiang Song
Yi-zhong Li
Weiliang Kong
Guo-qiang Hu
author_facet Guo-qiang Song
Yi-zhong Li
Weiliang Kong
Guo-qiang Hu
author_sort Guo-qiang Song
collection DOAJ
description Several cases of STRN-ALK fusion have been reported, and some anaplastic lymphoma kinase (ALK) inhibitors have been shown to be effective for treatment. Nevertheless, no cases of COVID-19 leading to heart failure and respiratory failure have been reported in people older than 70 years treated with ALK inhibitors. The present case report describes a 70-year-old patient with usual chronic obstructive pulmonary disease, diabetes, depression, and carotid plaque disease. Next-generation sequencing of tissue obtained by puncture biopsy revealed a STRN-ALK mutation accompanied by a TP53 mutation. The patient was treated with ensartinib and developed COVID-19 leading to heart failure and respiratory failure; nevertheless, he had a good clinical outcome and exhibited high treatment tolerability.
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spelling doaj.art-48708f98fb6541ca8e05fff86076a3a42023-09-22T10:24:54ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-09-011310.3389/fonc.2023.12356791235679Case Report: A rare case of non-small cell lung cancer with STRN-ALK fusion in a patient in very poor condition treated with first-line ensartinibGuo-qiang Song0Yi-zhong Li1Weiliang Kong2Guo-qiang Hu3Department of Respiratory, Changxing County Hospital of Traditional Chinese Medicine, Huzhou, ChinaDepartment of Respiratory, Changxing County Jiapu Town Health Center, Huzhou, ChinaDepartment of Pathology, Changxing County Hospital of Traditional Chinese Medicine, Huzhou, ChinaDepartment of Respiratory, Changxing County Hospital of Traditional Chinese Medicine, Huzhou, ChinaSeveral cases of STRN-ALK fusion have been reported, and some anaplastic lymphoma kinase (ALK) inhibitors have been shown to be effective for treatment. Nevertheless, no cases of COVID-19 leading to heart failure and respiratory failure have been reported in people older than 70 years treated with ALK inhibitors. The present case report describes a 70-year-old patient with usual chronic obstructive pulmonary disease, diabetes, depression, and carotid plaque disease. Next-generation sequencing of tissue obtained by puncture biopsy revealed a STRN-ALK mutation accompanied by a TP53 mutation. The patient was treated with ensartinib and developed COVID-19 leading to heart failure and respiratory failure; nevertheless, he had a good clinical outcome and exhibited high treatment tolerability.https://www.frontiersin.org/articles/10.3389/fonc.2023.1235679/fullSTRN-ALKNSCLCensartinibcase reportTKIs
spellingShingle Guo-qiang Song
Yi-zhong Li
Weiliang Kong
Guo-qiang Hu
Case Report: A rare case of non-small cell lung cancer with STRN-ALK fusion in a patient in very poor condition treated with first-line ensartinib
Frontiers in Oncology
STRN-ALK
NSCLC
ensartinib
case report
TKIs
title Case Report: A rare case of non-small cell lung cancer with STRN-ALK fusion in a patient in very poor condition treated with first-line ensartinib
title_full Case Report: A rare case of non-small cell lung cancer with STRN-ALK fusion in a patient in very poor condition treated with first-line ensartinib
title_fullStr Case Report: A rare case of non-small cell lung cancer with STRN-ALK fusion in a patient in very poor condition treated with first-line ensartinib
title_full_unstemmed Case Report: A rare case of non-small cell lung cancer with STRN-ALK fusion in a patient in very poor condition treated with first-line ensartinib
title_short Case Report: A rare case of non-small cell lung cancer with STRN-ALK fusion in a patient in very poor condition treated with first-line ensartinib
title_sort case report a rare case of non small cell lung cancer with strn alk fusion in a patient in very poor condition treated with first line ensartinib
topic STRN-ALK
NSCLC
ensartinib
case report
TKIs
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1235679/full
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