1. Clinical significance of EGFR mutation subtypes in lung adenocarcinoma : A multi-center Korean study v1
- Author
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Hee-Young Yoon, Jeong-Seon Ryu, Yun Su Sim, Dojin Kim, Sung Yong Lee, Juwhan Choi, Sojung Park, Yon Ju Ryu, Jin Hwa Lee, and Jung Hyun Chang
- Abstract
Background: Adenocarcinoma is the most common type of non-small cell lung cancer (NSCLC). Some causative genomicalterations, including deletion of exon (E) 19 and point mutation of E 21, are known to have a favourable prognoses due to sensitivity to tyrosine kinase inhibitors (TKIs); however, the prognoses of other uncommon mutations are unclear. The goal of this study was to analyse the clinical significance of epidermal growth factor receptor (EGFR)mutation subtypes in lung adenocarcinoma. Methods: We retrospectively reviewed 1,020 subjects (mean age: 66.8 years, female: 41.7%) who were diagnosed with advanced (stage III–IV) lung adenocarcinoma, had EGFR mutation data, and did not undergo surgery from five medical institutes between 2010 and 2016. Subjects were classified according to EGFR mutation status, particularly for exon-specific mutations. It was defined to EGFR positivity for the presence of mutation or insertion/deletion and EGFR negativity for wild type EGFR. Results: The median follow-up period was 13.3 months. EGFR positivity was 38.0%, with the incidence of mutations in E 18, 19, 20, and 21 being 3.6%, 51.0%, 3.4%, and 42.0%, respectively. The EGFR positive group survived significantly longer than the negative group (p
- Published
- 2019
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