Table 3.
General information and therapeutic outcomes on 5 patients with coexistent genetic alterations including EGFR, ROS1, and EML4-ALK in MPA and LA patients
| Patients | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|
| Gender | Female | Male | Female | Male | Female |
| Age (years) | 52 | 31 | 45 | 71 | 75 |
| Smoking history | Never | Never | Never | Ever | Never |
| Lymphovascular invasion | Absent | Present | Absent | Absent | Absent |
| Tumor differentiation | Moderate | Moderate | Moderate | Moderate | Moderate |
| Stage | T1bN0M0 | T1cN1M0 | T1cN0M0 | T1bN0M0 | T1cN0M0 |
| Pathological type | MPA | MPA | MPA | MPA | LA |
| Mutation status | ROS1+; EML4-ALK+ | ROS1+; EML4-ALK+ | EGFR L858R+; ROS1+ | EGFR L858R+; ROS1+ | EGFR 19-del+; ROS1+ |
| Therapeutic intervention | Surgery; chemotherapy; crizotinib | Surgery; chemotherapy; crizotinib | Surgery; chemotherapy; EGFR inhibitors | Surgery; chemotherapy; EGFR inhibitors | Surgery; chemotherapy; EGFR inhibitors |
| Outcomes | Partial response | Partial response | Partial response | Recurrence | Partial response |
MPA micropapillary lung adenocarcinoma, LA lung adenocarcinoma without micropapillary component, EGFR+ EGFR mutation, ROS1+ ROS1 fusion, EML4-ALK+ EML4-ALK fusion