Patient Record · MRN SMC-205417

SYN-019

[SYN] Lima Gemini · 64y · Female · Chinese · BMI 28.1 · ECOG 0

SMC - Sunway Medical Centre · Cardiothoracic Surgery · Dr. Rajesh Kumar

IA2 (T1b, N0)Watchful Wait

ALK fusion

Clinical storyline

[SYN] Lima Gemini, a 64-year-old Chinese female (never, ECOG 0), presented in 2025-02 with persistent dry cough > 6 weeks. Workup confirmed Adenocarcinoma (Stage I, ALK fusion). The MDT recommended curative-intent surgery. Current status: Watchful Wait.

HPE Results

Adenocarcinoma: Acinar, ALK rearranged

Clinical Stage

IA2 (T1b, N0)

Pathological Stage

IA2 (T1b, N0, Mx)

Adenocarcinoma Subtype

Acinar

CEA (ng/mL)

5.7

Tumor (CT/PET)

1.1 cm

PET SUV

8.06

NGS Results

ALK fusion positive (EML4-ALK)