1. Epidermal Growth Factor Receptor Gene Mutation Status in Primary Lung Adenocarcinoma and Corresponding Bone Metastases
- Author
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Yang Liu, Rui-Ze Sun, Hong-Tao Xu, Qianze Dong, Yue Zhao, Peng-Xu Shi, Enhua Wang, Si-Yao Wang, and Yue-Ting Li
- Subjects
Male ,0301 basic medicine ,Lung Neoplasms ,Histology ,Adenocarcinoma of Lung ,Bone Neoplasms ,medicine.disease_cause ,Pathology and Forensic Medicine ,Metastasis ,03 medical and health sciences ,Exon ,0302 clinical medicine ,medicine ,Humans ,Point Mutation ,Epidermal growth factor receptor ,Neoplasm Metastasis ,Aged ,Mutation ,Lung ,biology ,business.industry ,Point mutation ,Exons ,Middle Aged ,medicine.disease ,Primary tumor ,Neoplasm Proteins ,ErbB Receptors ,Medical Laboratory Technology ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Cancer research ,biology.protein ,Adenocarcinoma ,Female ,business - Abstract
Background The aim of this study was to compare epidermal growth factor receptor (EGFR) mutations between primary tumors and corresponding bone metastases (BMs) in lung adenocarcinoma. Materials and methods In total, 115 paired primary lung adenocarcinoma and corresponding BM tumors were analyzed for EGFR mutations by Amplification Refractory Mutation System. Results EGFR mutations were detected in 61 primary lung adenocarcinomas (53.04%) and in 67 corresponding metastases (58.26%), respectively. The EGFR mutation rate was significantly higher in female and in never-smoker patients. The consistency of EGFR mutations between the 115 matched BMs and primary tumor tissue samples reached to 80.87%, and the disparity was 19.13%. Mutations in exons 19 (19-del) and 21 (point mutation L858R) were the predominant mutation type. Conclusions The concordance rate demonstrated the feasibility of EGFR mutations in corresponding metastases using Amplification Refractory Mutation System when the primary tumor tissue is unavailable in the lung adenocarcinoma patients, and the inconsistency indicates that corresponding metastasis being screened simultaneously with the primary tumor samples may present some supplementary information for the patients.
- Published
- 2020