Mutations in the epidermal growth factor receptor gene are linked to smoking-independent, lung adenocarcinoma
2005

EGFR Mutations in Lung Adenocarcinoma Linked to Nonsmokers

Sample size: 154 publication 10 minutes Evidence: high

Author Information

Author(s): Sonobe M, Manabe T, Wada H, Tanaka F

Primary Institution: Kyoto University Hospital

Hypothesis

Are mutations in the epidermal growth factor receptor gene associated with lung adenocarcinoma in nonsmokers?

Conclusion

EGFR mutations are more common in lung adenocarcinomas of nonsmokers and are associated with specific clinico-pathological features.

Supporting Evidence

  • EGFR mutations were found in 39% of the patients studied.
  • Mutations were more frequent in nonsmokers (83%) compared to former smokers (50%) and current smokers (15%).
  • EGFR mutations were exclusively observed in adenocarcinoma patients.

Takeaway

This study found that some lung cancer patients who never smoked have a specific gene change that might help doctors treat their cancer better.

Methodology

The study examined EGFR gene mutations in tumor specimens from 154 lung cancer patients using PCR-SSCP method.

Potential Biases

Potential bias due to the study being conducted at a single institution and only including patients who underwent surgery.

Limitations

The study only included surgically resected tumors, which may not represent the overall incidence of EGFR mutations in all NSCLC cases.

Participant Demographics

154 patients, 39% female, 61% male, with a median age of 68 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 2.7–14.7

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602707

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