EML4-ALK testing in non-small cell carcinomas of the lung: a review with recommendations

被引:164
作者
Thunnissen, Erik [1 ]
Bubendorf, Lukas [2 ]
Dietel, Manfred [3 ]
Elmberger, Goran [4 ]
Kerr, Keith [5 ]
Lopez-Rios, Fernando [6 ]
Moch, Holger [7 ]
Olszewski, Wlodzimierz [8 ]
Pauwels, Patrick [9 ]
Penault-Llorca, Frederique [10 ]
Rossi, Giulio [11 ]
机构
[1] Vrije Univ Amsterdam, Dept Pathol, Med Ctr, Amsterdam, Netherlands
[2] Univ Basel Hosp, Inst Pathol, CH-4031 Basel, Switzerland
[3] Charite, Inst Pathol, Berlin, Germany
[4] Karolinska Univ Hosp, Dept Pathol, Stockholm, Sweden
[5] Univ Aberdeen, Dept Pathol, Sch Med, Aberdeen, Scotland
[6] Hosp Univ Sanchinarro, Lab Dianas Terapeut, Ctr Integral Oncol, Madrid, Spain
[7] Univ Spital Zurich, Inst Surg Pathol, Zurich, Switzerland
[8] Maria Sklodowska Curie Inst Oncol, Dept Pathol, Warsaw, Poland
[9] Univ Antwerp Hosp, Dept Pathol, Edegem, Belgium
[10] Ctr Jean Perrin, Dept Pathol, Clermont Ferrand, France
[11] Azienda Policlin Modena, Sez Anat Patol, Modena, Italy
关键词
Anaplastic lymphoma kinase; Rearrangement; Crizotinib; Algorithm; Guidelines; Non-small cell lung cancer; IN-SITU-HYBRIDIZATION; ALK GENE REARRANGEMENT; ANAPLASTIC LYMPHOMA; FUSION GENE; C-MET; KINASE; CANCER; INHIBITOR; ADENOCARCINOMA; TRANSLOCATION;
D O I
10.1007/s00428-012-1281-4
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
In non-small cell lung cancer, epidermal growth factor receptor gene mutations and anaplastic lymphoma kinase (ALK) gene rearrangements have a major impact upon the level of response to treatment with specific tyrosine kinase inhibitors. This review describes the molecular basis of ALK inhibition, summarizes current data on the effectiveness and safety of ALK inhibition therapy, describes the different testing methodologies with their advantages and disadvantages, provides a suggested testing algorithm and puts forward a proposal for an external quality assessment program in ALK testing.
引用
收藏
页码:245 / 257
页数:13
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