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Crizotinib in ALK+ inflammatory myofibroblastic tumors—Current experience and future perspectives
Authors:Till‐Martin Theilen  Jan Soerensen  Konrad Bochennek  Martina Becker  Dirk Schwabe  Udo Rolle  Thomas Klingebiel  Thomas Lehrnbecher
Affiliation:1. Department of Pediatric Surgery and Pediatric Urology, Johann Wolfgang Goethe University, Frankfurt, Germany;2. Division of Pediatric Stem Cell Transplantation and Immunology, Hospital for Children and Adolescents*, Johann Wolfgang Goethe University, Frankfurt, Germany;3. Division of Pediatric Hematology and Oncology, Hospital for Children and Adolescents, Johann Wolfgang Goethe University, Frankfurt, Germany
Abstract:Inflammatory myofibroblastic tumor (IMT) and its subtype epithelioid inflammatory myofibroblastic sarcoma (EIMS) are rare soft‐tissue tumors. As about 50% of IMT and 100% of EIMS contain activating rearrangements of the anaplastic lymphoma kinase (ALK) gene, targeted kinase inhibition of ALK by compounds such as crizotinib is a potential treatment option. We performed a literature review and analyzed a total of 30 patients with IMT/EIMS treated with crizotinib. A total of 12 patients achieved complete or partial remission. As preliminary data are promising, a prospective study evaluating crizotinib treatment in patients with unresectable/multifocal ALK+ IMT/EIMS is warranted.
Keywords:anaplastic lymphoma kinase (ALK)  child  crizotinib  epitheloid inflammatory myofibroblastic sarcoma (EIMS)  inflammatory myofibroblastic tumor (IMT)
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