EGFR mutations in lung carcinomas and quality of samples tested at Institute of Pathology, School of Medicine in Belgrade

Sanja Cirovic ,
Sanja Cirovic

Laboratory for Molecular Pathology, Institute of Pathology Prof. Dr Djordje Joannovic, School of Medicine, University of Belgrade , Belgrade , Serbia

Sofija Glumac ,
Sofija Glumac

Institute of Pathology Prof. Dr Djordje Joannovic, School of Medicine, University of Belgrade , Belgrade , Serbia

Nevena Pandrc ,
Nevena Pandrc

Laboratory for Molecular Pathology, Institute of Pathology Prof. Dr Djordje Joannovic, School of Medicine, University of Belgrade , Belgrade , Serbia

Zorica Tojaga ,
Zorica Tojaga

Laboratory for Molecular Pathology, Institute of Pathology Prof. Dr Djordje Joannovic, School of Medicine, University of Belgrade , Belgrade , Serbia

Ivan Zaletel ,
Ivan Zaletel

Institute of Histology and Embriology Aleksandar Dj. Kostic, School of Medicine, University of Belgrade , Belgrade , Serbia

Jovan Jevtic ,
Jovan Jevtic

Institute of Pathology Prof. Dr Djordje Joannovic, School of Medicine, University of Belgrade , Belgrade , Serbia

Violeta Mihailovic Vucinic ,
Violeta Mihailovic Vucinic

Klinika za pulmologiju, Klinicki centar Srbije , Beograd , Serbia

Medicinski fakultet, University of Belgrade , Belgrade , Serbia

Natalija Samardzic ,
Natalija Samardzic

Klinika za pulmologiju, Klinicki centar Srbije , Beograd , Serbia

Medicinski fakultet, University of Belgrade , Belgrade , Serbia

Sanja Radojevic Skodric ,
Sanja Radojevic Skodric

Institute of Pathology Prof. Dr Djordje Joannovic, School of Medicine, University of Belgrade , Belgrade , Serbia

Martina Bosic
Martina Bosic

Laboratory for Molecular Pathology, Institute of Pathology Prof. Dr Djordje Joannovic Serbia

School of Medicine, University of Belgrade , Belgrade , Serbia

Published: 01.04.2018.

Volume 34, Issue 1 (2018)

pp. 52-52;

Abstract

Aim: To examine the quality of tested lung carcinoma samples, frequency and type of EGFR mutations, and their correlation with patients clinical characteristics (gender, age, smoking habits, clinical stage). Introduction: Mutations in Epidermal Growth Factor Receptor (EGFR) have a role in lung carcinoma development and they are more prevalent in women and non-smokers. Evaluation of EGFR mutations in lung carcinomas in mandatory for targeted therapy with tyrosine kinase inhibitors. Test performance depends on the quality of tested samples and a test type. Material and Methods: We evaluated reports of EGFR mutation real-time PCR analyses in lung carcinoma samples performed from June 2017 till February 2018. Presence of mutations was correlated with clinical characteristics of lung carcinoma patients. Results: A total of 341 samples was received for testing, among which 40 (11.7%) was unsuitable for analysis due to a low tumor cell content (<5%). Three types of mutations were detected in a total of 24 (8%) cases: L858R in 12 (50%) cases, exon 19 deletion in 10 (41.7%) cases, and G719A/C/S in two cases (8.3%). Mutations were more prevalent in women (13.7%) then in men (4.3%) (p=0.004). Patients with EGFR mutated tumors were older (67,6ą9,4 years), compared to those with non-mutated tumors (62,3ą8,8 years) (p=0,003). Smoking habits and clinical stage were not associated with mutation status in lung carcinomas. Mutations were detected only in adenocarcinomas. Conclusion: Our results suggest the low frequency of EGFR mutations in tested patients, but they are more prevalent in women and older patients.

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