Table 4.
Summary of ALK-positive thyroid cancers from prior studies with basic clinicopathologic information
| ALK “+” /total, n (%), histologic type |
Female/ Male |
Age, average (range), years |
Morphologic variants and features | Recurrence? | Fusion partner | Reference |
|---|---|---|---|---|---|---|
| 1¼98, 2.2%, PTC | 11:0 | 38 (13–68) | Diffuse sclerosing, n=3; iFV, n=6^ | No | EML4, n=8 | Chou et al 2015 |
| 2/129,1.5%, FVPTC | n.a. | n.a. | PTC, n=2 | No (n=1) | EML4, TFG | McFadden et al 2014 |
| 4/392, 1%, thyroid carcinomas | 3:1 | 37 (13–50) | Classic, n=2; solid, n=1; FV (ETE), n=1; | No | STRN, n=2 | Park et al 2015 |
| 10/116, 8.6%, PTC | 8:2 | 42 (34–47) | iFV, n=4; classic, n=2; FV PTC, NOS, n=4 | Yes, 1/8 | EML4, n=6; STRN, n=4 | Bastos et al 2018 |
| 1/15, PTC | 0:1 | 31 | Classic PTC, n=1 | No | EML4 | Cipriani et al 2017 |
| 1 PTC# | 0:1 | 62 | TCV PTC | Yes, DM | EML4 | Demeure et al 2014 |
| 1/12, PTC* | 0:1 | 27 | Classic PTC | No | EML4 | Pfeifer et al 2019 |
| 1/59, PTC^^ | 0:1 | 60 | Classic PTC | AWD, 5 y | EML4 | van der Tuin et al 2019 |
| 3/303, 1%, PTC | 3:0 | 10 (7–15) | PTC, pN+, n=1; PTC, NOS, n=2 | N.A. | EML4, STRN, GTF2IRD1 | Vanden Borre et al 2017 |
| 3/75, thyroid carcinomas | 1:0§ | 71 | Classic PTC, n=2; ATC, n=1 | AWD§ | STRN | Perot et al 2014, Godbert et al 2015 |
| 3/84,3.5% PDTC; 0/33 ATC | 1:2 | (30–89)¶ | PDTC, n=3 | Died, n=2 | STRN, EML4, CCDC149 | Landa et al 2016 |
| 7/77 (9%), PTC~ | 5:2 | 23 (16–34) | FV PTC, n=1; PTC NOS, n=6 | n.a. | EML4, n=2 | Arndt et al 2018 |
There were also mixed PTC (n=2), tall cell variant of PTC (n=1), oncocytic PTC (n=1), Warthin-like PTC (n=1). Only EML4, as ALK fusion partner, was specifically tested for.
Stable disease after 6 months of Crizotinib treatment
Thyroid carcinomas negative for common mutations (e.g., BRAF, RAS)
RAI-refractory thyroid carcinomas
The sex of two patients was not reported. Response after 6 months of Crizotinib therapy.
Age of individual patients was not reported
PTC in radiation exposed patients