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ORIGINAL ARTICLE Distinct Clinical Course of EGFR-Mutant Resected Lung Cancers Results of Testing of 1118 Surgical Specimens and Effects of Adjuvant Gefitinib and Erlotinib Sandra P. D’Angelo, MD,* Yelena Y. Janjigian, MD,* Nicholas Ahye, BA,* Gregory J. Riely, MD, PhD,* Jamie E. Chaft, MD,* Camelia S. Sima, MD, MS,† Ronglai Shen, PhD,† Junting Zheng, MS,† Joseph Dycoco, BA,‡ Mark G. Kris, MD,* Maureen F. Zakowski, MD,§ Marc Ladanyi, MD,§ Valerie Rusch, MD,‡ and Christopher G. Azzoli, MD* survival HR 0.43 (95% CI: 0.26–0.72, p = 0.001), and a trend toward Background: EGFR and KRAS mutations are mutually exclusive improved OS. and predict outcomes with epidermal growth factor receptor (EGFR) Conclusions: Patients with resected stage I–III lung cancers and tyrosine kinase inhibitor (TKI) treatment in patients with stage IV EGFR mutation have a lower risk of death compared with patients lung cancers. The clinical significance of these mutations in patients without EGFR mutation. This may be because of treatment with with resected stage I–III lung cancers is unclear. EGFR TKIs. Patients with, and without KRAS mutation have similar Methods: At our institution, resection specimens from patients OS. These data support reflex testing of resected lung adenocarcino - with stage I–III lung adenocarcinomas are tested for the
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Dec 1, 2012
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