Clinicopathologic characteristics of EGFR, KRAS, and ALK alterations in 6,595 lung cancers
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// Boram Lee 1, 3 , Taebum Lee 1 , Se-Hoon Lee 2, 3 , Yoon-La Choi 1, 3 , Joungho Han 1 1 Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea 2 Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea 3 Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul, Korea Correspondance to: Yoon-La Choi, email: ylachoi@skku.edu Joungho Han, email: joungho.han@samsung.com Keywords: lung cancer, EGFR, KRAS, ALK, molecular epidemiology Received: December 19, 2015 Accepted: February 23, 2016 Published: March 14, 2016 ABSTRACT Background: EGFR, KRAS , and ALK alterations are major genetic changes found in non-small cell lung cancers (NSCLCs). Testing advanced lung adenocarcinoma tumors for these three genes is now standard care. The purpose of this study was to investigate the clinicopathologic expression pattern of these three genes in East Asian NSCLC patients. Patients and methods: We conducted a retrospective study of all patients tested for mutations of these three genes at a single institute in Korea between 2006 and 2014. Study data were extracted from electronic medical records. Univariate and multivariate logistic regression analyses were used to measure associations between clinicopathologic features and alterations of EGFR , KRAS , and ALK . Results: We detected 12 EGFR -mutated tumors with additional mutations in KRAS ( N =6, 0.1%) or ALK ( N =6, 0.1%). General clinicopathologic characteristics of tumors with EGFR , KRAS , or ALK mutations were similar to previous reports. Patients having EGFR L858R point mutations were older than patients having EGFR exon 19 deletions. EGFR G719X point mutations were more common in men and smokers than exon 19 deletions or L858R point mutations. Tumors having KRAS G12C mutations were less often of mucinous type than those with G12D or G12V, mutations. Conclusions: This is the largest three gene molecular epidemiology study in East Asian NSCLC patients. Each genetic alteration was associated with distinct clinicopathologic characteristics. Furthermore, different age and sex are associated with different subtypes of EGFR and KRAS mutations.
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Ins19 accounts for 0.6% (26/4519) of EGFR mutations.
“Ins19 is a subset accounting for 0.6% (26/4519).28, 48, 82, 83”
From Not all epidermal growth factor receptor mutations in lung cancer are created equal: Perspectives for individualized treatment strategy (2016) · cites this paper as [48]
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- Authors
- Lee, B., Lee, T., Lee, S.-H., Choi, Y.-L., & Han, J.
- Affiliations
- Samsung Medical Center (KR)
- Venue
- Oncotarget
- Publisher
- Impact Journals, LLC
- Published
- 2016-03-14
- Volume
- 7
- Issue
- 17
- Pages
- 23874-23884
- ISSN
- 1949-2553 (ISSN-L)
- PMC
- PMC5029670
- OpenAlex
- W2301231481
- Cited by
- 78
- References
- 58
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 5 · 2020: 6 · 2019: 10 · 2018: 9 · 2017: 12 · 2016: 5
- FWCI
- 10.74
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Oncotarget (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Research Foundation
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
- Keywords
- EGFR mutation, KRAS mutation, ALK rearrangement, non-small cell lung cancer, lung adenocarcinoma, clinicopathological features, L858R mutation, EGFR exon 19 deletion, KRAS G12C, KRAS G12D, KRAS G12V, molecular epidemiology, East Asian patients
- MeSH terms
- Anaplastic Lymphoma Kinase, Adenocarcinoma, Adult, Aged, Aged, 80 and over, Carcinoma, Non-Small-Cell Lung, Female, Follow-Up Studies, Humans, Lung Neoplasms, Male, Middle Aged, Prognosis, Biomarkers, Tumor, Survival Rate, Case-Control Studies, Proto-Oncogene Proteins p21(ras), Point Mutation, Receptor Protein-Tyrosine Kinases, ErbB Receptors
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