Pathological analysis of bronchoscopy biopsy tissue confirmed lung adenocarcinoma….The presence of EML4-ALK gene fusion and an ALK exon 23 F1174L and S1189C mutation was identified by targeted next-generation sequencing...The patient received crizotinib (250 mg, BID) as first-line targeted therapy for approximately 2.5 months...progressive disease (PD) was diagnosed according to chest CT...