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Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
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ALK-Positive Squamous Cell Carcinoma Dramatically Responded to Alectinib.
Ray Sagawa1, Takehiko Ohba1, Eisaku Ito2
1Department of Pulmonology, Ome Municipal General Hospital, Ome, Japan.
Case Reports in Oncological Medicine
|May 11, 2018
Summary
Anaplastic Lymphoma Kinase (ALK) rearrangement, typically seen in adenocarcinoma, was identified in a patient with squamous cell carcinoma. Treatment with alectinib resulted in significant tumor reduction, suggesting ALK testing for specific SCC cases.
Area of Science:
- Oncology
- Genetics
- Pulmonology
Background:
- Anaplastic Lymphoma Kinase (ALK) rearrangements are common drivers in lung adenocarcinoma.
- Squamous cell carcinoma (SCC) is a distinct subtype of non-small cell lung cancer.
- Identifying driver mutations is crucial for targeted therapy in lung cancer.
Observation:
- A 73-year-old non-smoking female presented with cough and appetite loss.
- Computed tomography revealed a left lower lobe lung mass.
- Pathological examination diagnosed the tumor as squamous cell carcinoma (SCC).
Findings:
- Genetic analysis revealed an Anaplastic Lymphoma Kinase (ALK) rearrangement in the SCC tumor.
- The patient was treated with the ALK inhibitor alectinib.
- Alectinib treatment led to a remarkable reduction in tumor volume with no severe adverse events.
Implications:
- This case highlights the rare occurrence of ALK rearrangement in SCC.
- It suggests that ALK rearrangement testing may be beneficial in non-smokers with SCC or those presenting with atypical features.
- Targeted therapy with ALK inhibitors like alectinib could be a viable option for select SCC patients with ALK alterations.
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