Table 1. The clinicopathologic features of three patients with EML4-ALK translocation positive NSCLC are summarized that developed progressive brain metastases in spite of good systemic control elsewhere.
Patient | Age at diagnosis | Histopathology | Primary tumor | Sites of Disease at diagnosis | Sites of disease progression | No. of CNS lesions | Smoking status | Brain RT |
---|---|---|---|---|---|---|---|---|
1 |
41 y |
Moderately-differentiated adenocarcinoma |
Left lower lobe |
Skeleton |
Brain |
12 |
Never smoker |
SRS 20 Gy |
Bilateral lungs | ||||||||
Mediastinum | ||||||||
2 |
51 y |
Moderately-differentiated adenocarcinoma |
Right middle lobe |
Brain |
Brain |
36 |
Never smoker |
SRS 15 Gy |
Skeleton |
|
|||||||
Mediastinum |
WBRT 37.5 Gy |
|||||||
3 | 59 y | Moderately-differentiated adenocarcinoma | Right hilum | Brain |
Brain | 22 | Never smoker | WBRT 35 Gy |
Supraclavicular | ||||||||
Bilateral Pleural Efusion | ||||||||
Mediastinum |
CNS, central nervous system; SRS, stereotactic radiosurgery; RT, radiation therapy; No., number; WBRT, whole brain radiotherapy; Gy, Grey (joule per kilogram).