Prognostic value of the KRAS G12V mutation in 841 surgically resected Caucasian lung adenocarcinoma cases

作者: Stéphane Renaud , Pierre-Emmanuel Falcoz , Mickaël Schaëffer , Dominique Guenot , Benoit Romain

DOI: 10.1038/BJC.2015.327

关键词: OncologyBreast cancerColorectal cancerRetrospective cohort studyAdenocarcinomaHazard ratioCohortInternal medicineLung cancerKRASMedicine

摘要: Identifying patients who will experience lung cancer recurrence after surgery remains a challenge. We aimed to evaluate whether mutant forms of epidermal growth factor receptor (EGFR) and Kirsten rat sarcoma viral oncogene homolog (KRAS) (mEGFR mKRAS) are useful biomarkers in resected non-small cell (NSCLC). retrospectively reviewed data from 841 underwent molecular testing for NSCLC between 2007 2012. mEGFR was observed 103 (12.2%), mKRAS 265 (31.5%). The median overall survival (OS) time (TTR) were significantly lower (OS: 43 months; TTR: 19 months) compared with 67 24 wild-type 55 disease-free (DFS): months). Patients KRAS G12V exhibited worse OS TTR the entire cohort G12V: 26 months vs Cohort: 60 DFS: 15 These results confirmed using multivariate analyses (non-G12V status, hazard ratio (HR): 0.43 (confidence interval: 0.28–0.65), P<0.0001 OS; HR: 0.67 (0.48–0.92), P=0.01 TTR). Risk non-KRAS (HR: 0.01, (0.001–0.08), P<0.0001). may predict early stages NSCLC. higher incidences.

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