case_images: PMC8010235_01
case_images: Pretreatment biopsy. (A) Histological aspect of lung adenocarcinoma (HE staining), (B) Intense cytoplasmic ALK protein expression on immunohistochemistry. HE, hematoxylin-eosin; ALK, anaplastic lymphoma kinase.
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case_images: f1
case_images: Simultaneously, the positive ALK expression was detected by Ventana immunohistochemistry (IHC) staining ( Figure 1 ).
case_images: Radiological evaluation of the primary tumor and lymph nodes. (A) Baseline, (B) After 3 chemotherapy cycles, (C) After 2 months of crizotinib treatment.
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case_images: f2
case_images: Contrast chest computed tomography (CT) after 3 cycles of gemcitabine plus cisplatin showed that the primary tumor remained stable according to the RECIST 1.1 criteria compared with the initial CT scan ( Figures 2A, B ). Encouragingly, the patient was downstaged to cT2aN2M0 within 2 months ( Figure 2C ).
case_images: Radiological evaluation of intracranial oligometastasis. (A) Initial detection, (B) Five months after stereotactic radiosurgery.
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case_images: f3
case_images: Five months after SRS, the intracranial oligometastasis showed a complete response based on the RECIST 1.1 criteria ( Figure 3 ).