Patient 3 had a chemorefractory ALK-negative ALCL with BM involvement and widespread nodal disease (laterocervical, retroclavear, subclavear, axillary, mediastinal, intercavoaortic, lomboaortic, splenic hilum, iliac, obturator, and inguinal) complicated by massive ascites. Here, ALK is linked to anaplastic large cell lymphoma.