July 19, 2017


  • A 62-year-old female never-smoker presented with dyspnea, cough and fatigue.
  • Patient has a performance status of 1 due to the decrease in her daily activities.
  • Chest X-ray showed multiple bilateral lung nodules.
  • PET/CT showed left adrenal metastases.
  • Brain MRI was negative.
  • Bronchoscopy was performed with a fine needle aspirate biopsy.
  • Pathology results showed moderately differentiated adenocarcinoma.
  • Molecular testing showed ALK-rearrangement.
  • Patient was started on ceritinib.