Is cytology reliable for epidermal growth factor receptor gene evaluation in non-small cell lung cancer?

J Thorac Oncol. 2010 Apr;5(4):551-3. doi: 10.1097/JTO.0b013e3181ce3b28.

Abstract

Background: Epidermal growth factor receptor (EGFR) gene copy number has been proposed as predictor of response to epidermal growth factor receptor tyrosine kinase inhibitors in advanced non-small cell lung cancer (NSCLC).

Methods: Cytologic and matched histologic samples from 33 primary non-small cell lung cancers were analyzed by fluorescence in situ hybridization (FISH) for epidermal growth factor receptor gene.

Results: FISH was positive in 52% and negative in 35% of the 31 matched evaluable samples. Four of 31 (13%) cases were discordant (K = 0.736; p < 0.001).

Conclusion: Our data support the feasibility and reliability of epidermal growth factor receptor gene assessment by FISH on cytology.

Publication types

  • Evaluation Study

MeSH terms

  • Adenocarcinoma / genetics
  • Adenocarcinoma / pathology*
  • Carcinoma, Non-Small-Cell Lung / genetics
  • Carcinoma, Non-Small-Cell Lung / pathology*
  • Carcinoma, Squamous Cell / genetics
  • Carcinoma, Squamous Cell / pathology*
  • ErbB Receptors / genetics*
  • Feasibility Studies
  • Gene Dosage*
  • Humans
  • In Situ Hybridization, Fluorescence*
  • Lung Neoplasms / genetics
  • Lung Neoplasms / pathology*
  • Neoplasm Staging
  • Prognosis
  • Survival Rate

Substances

  • EGFR protein, human
  • ErbB Receptors