The patient was a boy aged 12 years at the time of enrollment with a tropomyosin 3 (TPM3)–NTRK1 fusion, localized, poorly classified spindle cell sarcoma...Therefore, the patient initiated treatment with larotrectinib as his first form of anticancer therapy. He achieved a confirmed partial response after 8 cycles of larotrectinib with a 31% reduction in tumor burden.