A 72-year-old Chinese male patient was admitted...the disease was diagnosed as a stage IIIA lung adenocarcinoma with hilar node metastasis...A novel LDLR (Exon1–14)–ROS1 (Exon34–43) fusion variant (44.8% abundance) was detected and confirmed by immunohistochemistry (IHC) staining...Crizotinib (250 mg orally twice daily) was immediately administered beginning in June 2019. Follow-up examinations were performed every 6 months after surgery, clinical and radiological follow-up showed no evidence of progression or recurrence, and the recurrence-free survival (RFS) had exceeded 29 months by the time of submission (December 2021)...