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We report right here a unique situation of pulmonary sarcomatoid carcinoma, in a young non-smoker male, who'd co-existent tuberculosis masking and delaying the diagnosis of malignancy. On molecular research, the cyst showed ALK gene rearrangement, both by immunohistochemistry and fluorescence in-situ hybridization, which has been reported only twice previously. Position of ALK gene rearrangements in sarcomatoid carcinoma features significant therapeutic implicatio
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