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Only < 10% tumor cells were viable in all resected specimens, indicating major pathological response to alectinib.
We presented the first case of ALK-rearranged lung adenocarcinoma with major pathological response in resected specimens after treatment with alectinib.
Pathological examination revealed that only < 10% tumor cells were viable in all resected specimens, indicating major pathological response to alectinib (Fig. 3).
Here, we present the first surgical case of ALK-rearranged lung adenocarcinoma with major pathological response in resected specimens after treatment with alectinib.
Bevacizumab in combination with oxaliplatin/fluoropyrimidines can provide the highest major pathological response rate [15], and the pathological response to induction chemotherapy has been shown to correlate with improved survival [16].
Here, we report the first case of ALK-rearranged lung adenocarcinoma with major pathological response in resected specimens after treatment with alectinib, which may provide a pathological rationale for its greater clinical efficacy for advanced patients and may warrant clinical trials of adjuvant treatment of alectinib for resectable ALK-rearranged NSCLC patients.
Similar(44)
Seven of 10 patients with PDA had major pathological responses.
Of the 10 patients with PDA, 1 had a complete pathological response, 6 had major pathological responses (GRT-1), 1 had a partial response (GRT-2) and 2 did not response (GRT-3).
Major and minor pathological responses were seen in eight patients.
Thus, in a total of 32 patients (61.5%) a major or complete pathological response to preoperative chemoradiation was found.
The 100% complete resection rate and high number of patients with a major or complete pathological response might explain the lack of survival benefit in patients who had a pCR.
More suggestions(15)
major erythroid response
major pathological factor
major pathological subgroup
major objective response
major pathological change
major positive response
major molecular response
major pathological hallmark
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major pathological component
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major immune response
major pathological cause
major cytogenetic response
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