Different driver gene mutations in patients with synchronous multiple primary lung cancers: a case report
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Updated: Dec 13, 2025

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
Yong Yang1, Xiaofeng Xie2, Gening Jiang1
1Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, No. 507 Zhengmin Road, Shanghai, 200433, China.
Background:
Routine clinical and pathological examinations usually cannot fully conclusively determine the relationship between different lesions of lung cancer. Detailed genetic analysis of tumor samples may supply important additional information and identify second primary lung cancers.
Case Presentation:
In the present study, we report a case of synchronous multiple primary lung cancer (MPLC) composed of two distinct pathological subtypes with epidermal growth factor receptor (EGFR) gene mutations L858R of the acinar adenocarcinoma subtype and EML4-ALK rearrangement of the squamous cell carcinoma.
Conclusion:
The present report highlights the clinical importance of molecular cancer biomarkers detection to guide management decisions in MPLC cases.
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