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Discordance of epidermal growth factor receptor mutation between primary lung tumor and paired distant metastases in non-small cell lung cancer: A systematic review and meta-analysis
by
Leong, Cheng Nang
, Lee, Chia Ching
, Tan, Char Loo
, Soon, Yu Yang
, Tey, Jeremy Chee Seong
, Koh, Wee Yao
, Tham, Ivan Weng Keong
in
Biology and Life Sciences
/ Bone Neoplasms - genetics
/ Bone Neoplasms - pathology
/ Bone Neoplasms - secondary
/ Cancer metastasis
/ Cancer research
/ Cancer therapies
/ Carcinoma, Non-Small-Cell Lung - genetics
/ Carcinoma, Non-Small-Cell Lung - pathology
/ Carcinoma, Non-Small-Cell Lung - secondary
/ Cell cycle
/ Central nervous system
/ Central Nervous System Neoplasms - genetics
/ Central Nervous System Neoplasms - pathology
/ Central Nervous System Neoplasms - secondary
/ Discordance
/ Epidermal growth factor
/ Epidermal growth factor receptors
/ Epidermal growth factors
/ ErbB Receptors - genetics
/ Future predictions
/ Gene expression
/ Genetic aspects
/ Growth factors
/ Humans
/ Kinases
/ Lung cancer
/ Lung diseases
/ Lymphatic system
/ Medicine and Health Sciences
/ Meta-analysis
/ Metastases
/ Metastasis
/ Methods
/ Mutation
/ Neoplasm Metastasis
/ Non-small cell lung cancer
/ Non-small cell lung carcinoma
/ Oncology
/ Physical Sciences
/ Research and Analysis Methods
/ Sequences
/ Small cell lung cancer
/ Small cell lung carcinoma
/ Studies
/ Subgroups
/ Systematic review
/ Test procedures
/ Tumors
2019
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Discordance of epidermal growth factor receptor mutation between primary lung tumor and paired distant metastases in non-small cell lung cancer: A systematic review and meta-analysis
by
Leong, Cheng Nang
, Lee, Chia Ching
, Tan, Char Loo
, Soon, Yu Yang
, Tey, Jeremy Chee Seong
, Koh, Wee Yao
, Tham, Ivan Weng Keong
in
Biology and Life Sciences
/ Bone Neoplasms - genetics
/ Bone Neoplasms - pathology
/ Bone Neoplasms - secondary
/ Cancer metastasis
/ Cancer research
/ Cancer therapies
/ Carcinoma, Non-Small-Cell Lung - genetics
/ Carcinoma, Non-Small-Cell Lung - pathology
/ Carcinoma, Non-Small-Cell Lung - secondary
/ Cell cycle
/ Central nervous system
/ Central Nervous System Neoplasms - genetics
/ Central Nervous System Neoplasms - pathology
/ Central Nervous System Neoplasms - secondary
/ Discordance
/ Epidermal growth factor
/ Epidermal growth factor receptors
/ Epidermal growth factors
/ ErbB Receptors - genetics
/ Future predictions
/ Gene expression
/ Genetic aspects
/ Growth factors
/ Humans
/ Kinases
/ Lung cancer
/ Lung diseases
/ Lymphatic system
/ Medicine and Health Sciences
/ Meta-analysis
/ Metastases
/ Metastasis
/ Methods
/ Mutation
/ Neoplasm Metastasis
/ Non-small cell lung cancer
/ Non-small cell lung carcinoma
/ Oncology
/ Physical Sciences
/ Research and Analysis Methods
/ Sequences
/ Small cell lung cancer
/ Small cell lung carcinoma
/ Studies
/ Subgroups
/ Systematic review
/ Test procedures
/ Tumors
2019
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Discordance of epidermal growth factor receptor mutation between primary lung tumor and paired distant metastases in non-small cell lung cancer: A systematic review and meta-analysis
by
Leong, Cheng Nang
, Lee, Chia Ching
, Tan, Char Loo
, Soon, Yu Yang
, Tey, Jeremy Chee Seong
, Koh, Wee Yao
, Tham, Ivan Weng Keong
in
Biology and Life Sciences
/ Bone Neoplasms - genetics
/ Bone Neoplasms - pathology
/ Bone Neoplasms - secondary
/ Cancer metastasis
/ Cancer research
/ Cancer therapies
/ Carcinoma, Non-Small-Cell Lung - genetics
/ Carcinoma, Non-Small-Cell Lung - pathology
/ Carcinoma, Non-Small-Cell Lung - secondary
/ Cell cycle
/ Central nervous system
/ Central Nervous System Neoplasms - genetics
/ Central Nervous System Neoplasms - pathology
/ Central Nervous System Neoplasms - secondary
/ Discordance
/ Epidermal growth factor
/ Epidermal growth factor receptors
/ Epidermal growth factors
/ ErbB Receptors - genetics
/ Future predictions
/ Gene expression
/ Genetic aspects
/ Growth factors
/ Humans
/ Kinases
/ Lung cancer
/ Lung diseases
/ Lymphatic system
/ Medicine and Health Sciences
/ Meta-analysis
/ Metastases
/ Metastasis
/ Methods
/ Mutation
/ Neoplasm Metastasis
/ Non-small cell lung cancer
/ Non-small cell lung carcinoma
/ Oncology
/ Physical Sciences
/ Research and Analysis Methods
/ Sequences
/ Small cell lung cancer
/ Small cell lung carcinoma
/ Studies
/ Subgroups
/ Systematic review
/ Test procedures
/ Tumors
2019
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Discordance of epidermal growth factor receptor mutation between primary lung tumor and paired distant metastases in non-small cell lung cancer: A systematic review and meta-analysis
Journal Article
Discordance of epidermal growth factor receptor mutation between primary lung tumor and paired distant metastases in non-small cell lung cancer: A systematic review and meta-analysis
2019
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Overview
To evaluate the rate of discordance of epidermal growth factor receptor (EGFR) mutation between primary lung tumor and paired distant metastases in non-small-cell lung cancer (NSCLC).
We performed a meta-analysis of 17 studies (518 cases) assessing discordance rates of EGFR mutation in primary tumors and paired distant metastases. We performed subgroup analyses based on EGFR mutation status in primary tumor (mutant or wildtype), site of distant metastasis (bone, central nervous system (CNS) or lung/ pleural), methods of testing (direct sequencing or allele-specific testing) and timing of metastasis (synchronous or metachronous).
The overall discordance rate in EGFR mutation was low at 10.36% (95% CI = 4.23% to 18.79%) and varied widely between studies (I2 = 83.18%). The EGFR discordance rate was statistically significantly higher in bone metastases (45.49%, 95% CI = 14.13 to 79.02) than CNS (17.26%, 95% CI = 7.64 to 29.74; P = 0.002) and lung/ pleural metastases (8.17%, 95% CI = 3.35 to 14.85; P < 0.001). Subgroup analyses did not demonstrate any significant effect modification on the discordance rates by the EGFR mutation status in primary lung tumor, methods of testing and timing of metastasis.
The overall discordance rate in EGFR mutation between primary lung tumor and paired distant metastases in NSCLC is low, although higher discordance rates were observed in bone metastases compared with CNS and lung/pleural metastases. Future studies assessing the impact of EGFR mutation discordance on treatment outcomes are required.
Publisher
Public Library of Science,Public Library of Science (PLoS)
Subject
/ Carcinoma, Non-Small-Cell Lung - genetics
/ Carcinoma, Non-Small-Cell Lung - pathology
/ Carcinoma, Non-Small-Cell Lung - secondary
/ Central Nervous System Neoplasms - genetics
/ Central Nervous System Neoplasms - pathology
/ Central Nervous System Neoplasms - secondary
/ Epidermal growth factor receptors
/ Humans
/ Kinases
/ Medicine and Health Sciences
/ Methods
/ Mutation
/ Non-small cell lung carcinoma
/ Oncology
/ Research and Analysis Methods
/ Studies
/ Tumors
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