Here, we report the first case of STRN-ALK fusion–positive BC in a patient who responded to alectinib….Based on the presence of the STRN-ALK fusion, the patient was started on alectinib with a baseline CT shown at day 7 of treatment...There appeared to be continued response in bone lesions and lymph nodes, with increased cfDNA to 19.45 ng/mL at the time of this writing, and the patient decided not to pursue additional lines of therapy or testing.