Dramatic response to alectinib in inflammatory myofibroblastic tumor with anaplastic lymphoma kinase fusion gene

Jpn J Clin Oncol. 2017 Dec 1;47(12):1189-1192. doi: 10.1093/jjco/hyx133.

Abstract

Inflammatory myofibroblastic tumor (IMT) is a neoplasm characterized by the proliferaton of myofibroblasts with the infiltration of inflammatory cells. There is no standard treatment for patients with recurrent or metastatic IMT. We describe here a patient with hyper-progressive IMT with an anaplastic lymphoma kinase (ALK) fusion gene that dramatically responded to alectinib without adverse events. His dramatic and enduring response supports the observation that alectinib may be considered a good treatment option for rare aggressive ALK-positive tumors.

Keywords: alectinib; anaplastic lymphoma kinase; inflammatory myofibroblastic tumor.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anaplastic Lymphoma Kinase
  • Carbazoles / therapeutic use*
  • Granuloma, Plasma Cell / diagnostic imaging
  • Granuloma, Plasma Cell / drug therapy*
  • Granuloma, Plasma Cell / genetics*
  • Granuloma, Plasma Cell / pathology
  • Humans
  • Inflammation / diagnostic imaging
  • Inflammation / drug therapy*
  • Inflammation / pathology
  • Male
  • Oncogene Proteins, Fusion / genetics*
  • Piperidines / therapeutic use*
  • Receptor Protein-Tyrosine Kinases / genetics*

Substances

  • Carbazoles
  • Oncogene Proteins, Fusion
  • Piperidines
  • ALK protein, human
  • Anaplastic Lymphoma Kinase
  • Receptor Protein-Tyrosine Kinases
  • alectinib