J Chest Surg.  2024 Jul;57(4):408-412. 10.5090/jcs.23.154.

Fetal Lung Interstitial Tumor: A Comprehensive Case Study with an Emphasis on Next-Generation Sequencing

Affiliations
  • 1Departments of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul, Korea
  • 2Departments of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea

Abstract

Fetal lung interstitial tumor (FLIT), which is characterized by immature interstitial cells resembling the fetal lung parenchyma of 20 to 24 weeks of gestation, is a rare respiratory neoplasm. This study presents the first reported FLIT in Korea. It also aims to refine the diagnostic method of FLIT and increase the accuracy of prognostic assessment by using next-generation sequencing to check for anaplastic lymphoma receptor tyrosine kinase (anaplastic lymphoma kinase) gene rearrangement. Although the initial prognosis for FLIT has been promising since its first report in 2010, certain pathological features are associated with poorer outcomes. Therefore, achieving an accurate diagnosis of FLIT is crucial for avoiding unnecessary treatments beyond surgical resection.

Keyword

Fetal lung interstitial tumor; Next generation sequencing; Differential diagnosis; Case reports
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