(lower lobe of the left lung) invasive adenocarcinoma, some papillary, part acinar, the cancer tissue is invasion of the pleura.
CK7(++),TTF-1(++),NapsinA(++),ki-67(+,about 6%),SPB(+),CK5/6(-),P63(-),P40（-),Syn(-),CgA(-),CD56(-),Vimentin(-),S-100(-),CD34(-).
Left lower lobectomy specimen：The volume is 9 * 4 * 2.5cm. There is a gray yellow gray red mass, part of the defect, and the remaining volume is 4.5 * 4.5 * 1.5cm.The section is gray red gray yellow and medium in quality.
Gender：M
Age：84
family history ：Parents died for unknown reasons
Serological examination ：Serum CEA , NSE was normal
surgical mode ：Left lower lobectomy
Tumor size： 4.5 * 4.5 * 1.5cm
Disease status(primary/relapse)：primary
G：II
TNM：T3N0M0
Stage：IIB
Gene：ROS1
Mutant Site：PCR
Mutation Type：fusion
% tumor ：*
% necrosis：*
