Volume 49, Issue 7 pp. E258-E261
BRIEF REPORT

Molecular cytopathology diagnosis of a lung neoplasm: Case report of an unusual non-small cell carcinoma with MET exon 14 skipping mutation

S. Mohsen Hosseini MD, PhD

S. Mohsen Hosseini MD, PhD

Division of Cytopathology, Department of Pathology, University of California, San Francisco, California, USA

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Elham Khanafshar MD, MS

Elham Khanafshar MD, MS

Division of Cytopathology, Department of Pathology, University of California, San Francisco, California, USA

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Eric J. Seeley MD

Eric J. Seeley MD

Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Department of Medicine, University of California, San Francisco, California, USA

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Roberto Ruiz-Cordero MD

Corresponding Author

Roberto Ruiz-Cordero MD

Division of Cytopathology, Department of Pathology, University of California, San Francisco, California, USA

Correspondence

Roberto Ruiz-Cordero MD, UCSF Pathology, Box 4034, 1825 4th Street, Room L2181B, San Francisco, CA 94158.

Email: [email protected]

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First published: 12 January 2021
Citations: 1

Abstract

Here we report the combined cytological and molecular diagnosis of a lung mass. The cytology and extensive immunohistochemistry on an endobronchial ultrasound-guided fine needle aspiration biopsy were inconclusive. By genomic profiling of the cell block material, we identified a MET exon 14 skipping mutation that indicated a lung origin and made the patient eligible for the tyrosine kinase inhibitor, crizotinib. This case is a prime example of complementing adequate aspiration and cell block processing techniques with molecular testing. Such an approach would augment the usability of fine needle aspiration biopsy, both as a diagnostic modality and as the first line to find therapeutic targets in the era of precision medicine.

CONFLICT OF INTEREST

None.

DATA AVAILABILITY STATEMENT

Data sharing not applicable to this article as no datasets were generated or analyzed during the current study.

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