Evidence map›Paper›PMID 39909915›Full record

ReviewJournal of cancer research and clinical oncology2025

Small cell lung cancer with EML4-ALK fusion: report of a case responding to ALK TKI and literature review.

Mingyue Wang, Hongzhi Liu, Ruixin Zhang, Runyu Li, Xiaoyu Qin, Fangling Ning, Lijun Tian

Abstract readCase ReportsReview
In one paragraph

Review in Journal of cancer research and clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mingyue WangDepartment of Oncology, Binzhou Medical University Hospital, Binzhou City, Shandong Province, China.
Hongzhi LiuDepartment of Traumatic Orthopedics, Binzhou Medical University Hospital, Binzhou City, Shandong Province, China.
Ruixin ZhangDepartment of Oncology, Binzhou Medical University Hospital, Binzhou City, Shandong Province, China.
Runyu LiDepartment of Oncology, Binzhou Medical University Hospital, Binzhou City, Shandong Province, China.
Xiaoyu QinDepartment of Oncology, Binzhou Medical University Hospital, Binzhou City, Shandong Province, China.
Fangling NingDepartment of Oncology, Binzhou Medical University Hospital, Binzhou City, Shandong Province, China. ningfangling@126.com.
Lijun TianDepartment of Oncology, Binzhou Medical University Hospital, Binzhou City, Shandong Province, China. byfyzlt@bzmc.edu.cn.

Funding

Beijing Science and Technology Innovation Medical Development Foundation KC2021-JX-0186-20ShanDong Provincial Medical Association No.YXH2022ZX02028
6 · The paper itself

Abstract

purposeWith the continuous development and progress of next-generation gene sequencing technology, many types of anaplastic lymphoma kinase (ALK) rearrangement have been discovered. However, in small cell lung cancer (SCLC), ALK rearrangement is extremely rare and there is no standard treatment protocol. By reviewing the literature, we summarized the previously reported cases of ALK-positive SCLC, and discussed the significance of molecular detection.

methodWe report a rare patient with EML4-ALK fusion gene SCLC, a 41-year-old woman with no history of smoking or drinking, who was admitted to the hospital with chest tightness, dyspnea, and cough and sputum. Extensive SCLC (cT4N0M1) was diagnosed after relevant examination and pathological examination. The patient relapsed again six months after receiving first-line chemoradiotherapy. And the patient still developed disease progression (PD) after continued multi-line treatment including chemotherapy, immunotherapy, and anti-vascular therapy. ALK inhibitor is currently being taken orally, and significant clinical response has been achieved. Progression-free survival (PFS) was more than 8 months.

resultALK rearrangement of SCLC is rare. The stage IV patient with ALK rearrangement benefit from ALK inhibitors after multiline therapy.

conclusionFor patients with ALK-positive SCLC, ALK inhibitors may be a reliable treatment option.

Indexed as

Anaplastic Lymphoma KinaseLung NeoplasmsOncogene Proteins, FusionProtein Kinase InhibitorsSmall Cell Lung CarcinomaAdultFemaleGene RearrangementHumansALK protein, humanAnaplastic Lymphoma KinaseEML4-ALK fusion protein, humanOncogene Proteins, FusionProtein Kinase InhibitorsALK positiveChemotherapyImmunotherapySmall cell lung cancerTargeted therapy

Identifiers

PMID39909915
PMCPMC11799027

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.