Objectives: 1) To evaluate the rate of ALK, ROS1, RET gene fusions and MET exon 14 skipping mutations in patients with non-small cell lung cancer at Ninh Binh Provincial General Hospital. 2) To assess the relationship between ALK, ROS1, RET gene fusions, MET exon 14 skipping mutations and pathological characteristics in non-small-cell lung cancer.
Methods: A cross-sectional descriptive study was conducted on 206 patients with non-small cell lung cancer at Ninh Binh General Hospital from 2023 to 2026. Real-time RT-PCR method was utilized to identify ALK, ROS1, and RET gene fusions, as well as MET exon 14 skipping mutations.
Results: We found the prevalence of ALK, ROS1, RET gene fusions and MET exon 14 skipping mutations was 4.9%, 0%, 0.5% and 0.5%, respectively. ALK gene fusion was more commonly detected in female, non-smokers. We did not observe any statistically significant association between age or histopathological results and the ALK fusion. Regarding the ROS1 and RET gene fusions and the MET exon 14 skipping mutations, due to their very low detection rates, the study did not have sufficient basis to statistically analyze the correlations between these alterations and clinical or subclinical characteristics.
Conclusions: ALK, ROS1 and RET gene fusions and MET exon 14 skipping mutations are rare genetic alterations in patients with non-small cell lung cancer. ALK gene fusion was more commonly detected in female, non-smokers.