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ORIGINAL ARTICLE Mutational Analysis in Cytological Specimens of Advanced Lung Adenocarcinoma: A Sensitive Method for Molecular Diagnosis Laura Boldrini, PhD,* Silvia Gisfredi, PhD,* Silvia Ursino, PhD,* Tiziano Camacci,* Editta Baldini, MD,† Franca Melfi, MD,‡ and Gabriella Fontanini, MD* he discovery that somatic mutations in the epidermal Introduction: The discovery that somatic mutations in the epider- Tgrowth factor receptor (EGFR) gene in lung adenocarci- mal growth factor receptor (EGFR) gene are associated with sensi- nomas are associated with sensitivity to the EGFR tyrosine tivity to the EGFR tyrosine kinase inhibitors (TKIs) in lung adeno- 1,2 3 kinase inhibitors (TKI) gefitinib and erlotinib, whereas carcinomas, whereas Kras mutations are associated with resistance, 4–6 Kras mutations are associated with resistance to TKIs, has has generated excitement among both clinicians and researchers generated excitement among clinicians and researchers study- studying non-small cell lung cancer (NSCLC). Mutational analysis ing non-small cell lung cancer (NSCLC). Mutational analysis may soon be very useful in choosing among a wide range of targeted should soon be very useful to clinicians in choosing among therapies to individualize treatment to tumor characteristics. This the wide range of targeted therapies that can be implemented analysis would be even more useful in
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Dec 1, 2007
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