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ORIGINAL ARTICLE Complex Mutations in the Epidermal Growth Factor Receptor Gene in Non-small Cell Lung Cancer Akito Hata, MD,* Hiroshige Yoshioka, MD,† Shiro Fujita, MD, PhD,* Kei Kunimasa, MD,† Reiko Kaji, MD,* Yukihiro Imai, MD, PhD,‡ Keisuke Tomii, MD,§ Masahiro Iwasaku, MD,† Akihiro Nishiyama, MD,† Tadashi Ishida, MD, PhD,† and Nobuyuki Katakami, MD, PhD* he presence of a mutation in the epidermal growth factor Introduction: Mutation of the epidermal growth factor receptor Treceptor (EGFR) gene is known to predict the efficacy of (EGFR) gene can predict the efficacy of EGFR-tyrosine kinase 1,2 EGFR-tyrosine kinase inhibitors (TKIs). Furthermore, the inhibitors. Different mutations have been shown to co-occur in a localization of EGFR mutations has been demonstrated to single tumor. However, the frequency of these so-called “complex affect response to EGFR-TKIs. Among EGFR gene muta- mutations” and the efficacy of gefitinib in treating patients with tions, an in-frame deletional mutation in exon 19 (Del-19) is these mutations are unclear. one of the strongest predictors of efficacy. The L858R point Methods: We investigated the frequency of complex mutations in mutation in exon 21 is also thought to be a good predictive 783 patients with non-small cell lung cancer seen at our institutes
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Oct 1, 2010
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