We identified aberrant expression ratios regarding the 3’ to 5’ end of the kinase domain ratios in ROS1 transcripts in a leiomyosarcoma in a 90-year-old woman….Moreover, in an in vivo assay, crizotinib, a ROS1 inhibitor, markedly inhibited the growth of MAN1A1-ROS1 rearrangement-induced transformed cells in a dose-dependent manner.