1. Association of histologic subtypes with EGFR mutation and clinical characteristics in lung adenocarcinoma.
- Author
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ZHAO Yan-qiu, LIU Jie, LIU Rui-qing, ZHANG Jian-bo, SUN Xiao-nan, WANG Yu, and LI Xing-ya
- Subjects
HISTOLOGY ,EPIDERMAL growth factor receptors ,GENETIC mutation ,LUNG cancer ,ADENOCARCINOMA ,BIOLOGICAL specimens - Abstract
Objective To explore the association of histologic subtypes with epidermal growth factor receptor (EGFR) mutation and ciinical characteristics in lung adenocarcinoma. Methods In this study, we reviewed 206 specimens of non-small cell lung cancer; EGFR gene mutation was measured by amplification refractory mutation syttem (ARMS). For the resected adenocarcinoma specimens, histologic subtypes were clasiified according to classification methods of both 2004 World Health Organization (WHO) and 2011 International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society ( IASLC/ATS/ERS ). The association of histologic subtypes of lung adenocarcinoma wíth EGFR mutation and clinicopathologic features was analyzed by SPSS17.0. Results EGFR gene mutation was detected in 91 (44.2%) of the 206 patients. Women and nonsmokers were found to be significantly associated wíth a higher incidence of EGFR gene mutation (56. 6% vs. 32.7%, P = 0.001; 51. 9% vs. 31.2%, P = 0.004). Regarding histologic subtypes of adenocarcinoma, the presence of nonmucinous BAC (lepidic) componenis showed the mott frequent EGFR mutations (61.5% vs. 38.6%, P = 0.012), but mixed mucinous BAC components had a lower EGFR mutation (13.3% vs. 53.3%, P = 0.004). The presence of papillary components was likely to lead to a higher EGFR mutation, but wtth no significant difference (P = 0.057). In contrast, EGFR mutation was observed more frequently in adenocarcinoma with papillary predominance than in invasive mucinous adenocarcinoma and solid predominance using the new IASLC/ ATS/ERS classification method (P = 0.057). Conclusion Gender, smoking history and histologic subtypes are closely associated wtth the presence of EGFR mutaiion in lung adenocarcinoma. Female, non-smoker, the presence of nonmucinous BAC components and papillary predominance can predict higher EGFR mutation in lung adenocarcinoma, but the presence of mixed mucinous BAC components predicts a lower mutation. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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