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CASE REPORT article

Front. Oncol.

Sec. Radiation Oncology

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1539309

This article is part of the Research Topic Exploring Molecular Mechanisms in Cancer through Tumor Molecular Pathology View all articles

Metastatic INI-1-deficient undifferentiated lung cancer with EGFR 19del mutation identified in pleural effusion: a case report and review of the literature

Provisionally accepted
  • 1 Liaocheng People's Hospital, Liaocheng, China
  • 2 Shenxian People’s Hospital, liaocheng, China

The final, formatted version of the article will be published soon.

    INI-1 is a core component of the switch/sucrose-non-fermenting (SWI/SNF) complex, an ATP-dependent chromatin remodeling complex that plays a critical role in DNA repair, transcriptional regulation, and cellular differentiation. Intrathoracic tumors driven by INI-1 inactivation are exceptionally rare. This report presents the first documented case of metastatic INI-1-deficient undifferentiated lung cancer harboring a co-occurring epidermal growth factor receptor (EGFR) exon 19 deletion mutation. The clinical and pathological characteristics of the tumor are described, followed by a comprehensive review of the relevant literature.

    Keywords: INI-1, lung cancer, EGFR 19del mutation, SWI/SNF complex, INI-1-deficient undifferentiated lung cancer

    Received: 04 Dec 2024; Accepted: 24 Mar 2025.

    Copyright: © 2025 Guo, Li and Duan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Xiufang Duan, Shenxian People’s Hospital, liaocheng, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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