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EGFR and KRAS status of primary sarcomatoid carcinomas of the lung: Implications for anti-EGFR treatment of a rare lung malignancy
International Journal of Cancer, 08/20/09
Italiano A et al. - In a trial to investigate the use of epidermal growth factor receptor (EGFR)-targeted therapies in pts with primary sarcomatoid carcinomas (SC), it was concluded that the consistent EGFR protein overexpression and high rate of KRAS mutation may contribute to poorer outcome of lung SC in comparison with typical non-small cell lung cancer (NSCLC). The rare incidence of increased EGFR gene copy number, the lack of EGFR mutation, and high rate of KRAS mutation suggest that most pts with lung SC are not likely to benefit from anti-EGFR therapies.
Methods- The status of 4 EGFR pathways biomarkers was analyzed in a series of lung SC.
- EGFR protein expression, EGFR gene copy number, EGFR mutational status, and KRAS mutational status were assessed in 22 consecutive cases of primary lung SC.
- EGFR protein overexpression was observed in all the cases.
- High level of polysomy (4 copies of the gene in >40% of cells) was detected in 5 cases (23%).
- No EGFR mutation was detected.
- KRAS mutations were found in 8 pts (38%; Gly12Cys in 6 cases and Gly12Val in 2 cases).
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