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Response to Crizotinib Observed in Lung Adenocarcinoma with MET Copy Number Gain but without a High-Level MET/CEP7 Ratio, MET Overexpression, or Exon 14 Splicing Mutations Yan Zhang, MD, PhD, WeiYa Wang, PhD, Yan Wang, MD, Yong Xu, MD, Ye Tian, MD, MeiJuan Huang, MD, PhD, You Lu, MD, PhD Journal of Thoracic Oncology Volume 11, Issue 5, Pages e59-e62 (May 2016) DOI: /j.jtho Copyright © 2015 International Association for the Study of Lung Cancer Terms and Conditions
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Figure 1 Hematoxylin and eosin staining and immunohistochemical analysis with thyroid transcription factor 1(TTF-1), naspsin A, caudal-related homeobox transcription factor 2(CDX-2), ROS-1 and anaplastic lymphoma kinase (ALK). The results showed positive staining with TTF-1, naspsinA, and negative for CDX-2, ROS-1 and ALK. Lung adenocarcinoma with no activation of ALK or ROS-1 was pathologically diagnosed. Journal of Thoracic Oncology , e59-e62DOI: ( /j.jtho ) Copyright © 2015 International Association for the Study of Lung Cancer Terms and Conditions
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Figure 2 MMNG HOS Transforming gene (MET) amplification test by fluorescence in situ hybridization and overexpression test by immunohistochemical staining. (A) Amplification test by fluorescence in situ hybridization showing low MET/centromere probe of chromosome 7 (CEP7) ratio (1.21) but MCNG (green signal, 6.7 copies per cell) based on counting 50 tumor cells. The CEP7 chromosome is represented by a single red dot. (B) Overexpression test by immunohistochemical staining showing 80% of tumor cells with low-intensity staining (+1) and 5% with moderate-intensity staining (+2), which is defined as weakly positive. The insets show higher-power magnification of +1 (C) and +2 (D) staining. Journal of Thoracic Oncology , e59-e62DOI: ( /j.jtho ) Copyright © 2015 International Association for the Study of Lung Cancer Terms and Conditions
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Figure 3 Sequence of anticancer treatments across the time line and imaging evaluation of the respective treatments. The color-coded boxes to the left of each panel describe the related data. Primary and metastatic adenocarcinoma was resistant to chemotherapy but benefited from crizotinib. Journal of Thoracic Oncology , e59-e62DOI: ( /j.jtho ) Copyright © 2015 International Association for the Study of Lung Cancer Terms and Conditions
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