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http://purl.uniprot.org/citations/23609009http://www.w3.org/1999/02/22-rdf-syntax-ns#typehttp://purl.uniprot.org/core/Journal_Citation
http://purl.uniprot.org/citations/23609009http://www.w3.org/2000/01/rdf-schema#comment"

Purpose

This study retrospectively assessed the mutations of the epidermal growth factor receptor (EGFR) and K-ras genes and their clinical significance in patients with resected stage I adenocarcinomas.

Methods

A total of 354 patients with resected lung adenocarcinomas were included, and 256 patients with stage I disease were analyzed for the prognostic and predictive value of these mutations.

Results

Mutations of EGFR and K-ras genes were detected in 149 (41.1 %) and 23 (6.4 %) of all tumors, and in 122 (47.6 %) and 14 (5.5 %) of stage I tumors, respectively. There were no significant differences in the disease-free survival (DFS) and overall survival (OS) between the EGFR-mutant and wild-type groups. However, the DFS and OS were significantly shorter in patients with K-ras mutations than in those without (5-year DFS: 50.8 vs. 76.9 %, 5-year OS: 70.0 vs. 86.6 %, p < 0.01). A multivariate analysis showed that K-ras mutations were an independent poor prognostic factor. Twenty-four of the 41 patients with recurrent disease after surgery were treated with an EGFR-TKI. Fifteen EGFR-mutant patients treated with an EGFR-TKI had a better prognosis than did the nine EGFR-wild-type patients.

Conclusion

The presence of an EGFR gene mutation was a predictive factor for the response to EGFR-TKI treatment in patients with resected stage I adenocarcinoma, but was not a prognostic factor. The presence of a K-ras gene mutation was a poor prognostic factor."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.org/dc/terms/identifier"doi:10.1007/s00595-013-0589-2"xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Ohba T."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Yamaguchi M."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Seto T."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Ichinose Y."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Toyokawa G."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Sugio K."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Hamatake M."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Kometani T."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Hirai F."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/author"Nosaki K."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/date"2014"xsd:gYear
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/name"Surg Today"xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/pages"478-486"xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/title"Mutations of the EGFR and K-ras genes in resected stage I lung adenocarcinoma and their clinical significance."xsd:string
http://purl.uniprot.org/citations/23609009http://purl.uniprot.org/core/volume"44"xsd:string
http://purl.uniprot.org/citations/23609009http://www.w3.org/2004/02/skos/core#exactMatchhttp://purl.uniprot.org/pubmed/23609009
http://purl.uniprot.org/citations/23609009http://xmlns.com/foaf/0.1/primaryTopicOfhttps://pubmed.ncbi.nlm.nih.gov/23609009
http://purl.uniprot.org/uniprot/#_A0A068JD88-mappedCitation-23609009http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/23609009
http://purl.uniprot.org/uniprot/#_A0A221ZRZ1-mappedCitation-23609009http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/23609009
http://purl.uniprot.org/uniprot/#_A8K2T7-mappedCitation-23609009http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/23609009
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http://purl.uniprot.org/uniprot/#_A0A1Y0B9F8-mappedCitation-23609009http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/23609009