Evidence map›Paper›PMID 28383802›Full record

ArticleThoracic cancer2017

Computed tomography and clinical features associated with epidermal growth factor receptor mutation status in stage I/II lung adenocarcinoma.

Jiawei Zou, Tangfeng Lv, Suhua Zhu, Zhenfeng Lu, Qin Shen, Leilei Xia, Jie Wu, Yong Song, Hongbing Liu

Abstract read
In one paragraph

Article in Thoracic cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Correlation between carcinoembryonic antigen (CEA) expression and EGFR mutations in non-small-cell lung cancer: a meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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  7. A predictive nomogram forJournal of thoracic disease · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jiawei ZouDepartment of Respiratory Medicine, Jinling Hospital, Southern Medical University, Nanjing, China.
Tangfeng LvDepartment of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.
Suhua ZhuDepartment of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.
Zhenfeng LuDepartment of Pathology, Jinling Hospital, Nanjing, China.
Qin ShenDepartment of Pathology, Jinling Hospital, Nanjing, China.
Leilei XiaDepartment of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.
Jie WuDepartment of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.
Yong SongDepartment of Respiratory Medicine, Jinling Hospital, Southern Medical University, Nanjing, China.
Hongbing LiuDepartment of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between epidermal growth factor receptor (EGFR) gene mutation status, preoperative computed tomography (CT), and clinical features in patients with small peripheral lung adenocarcinoma (<3 cm) was investigated.

methodsWe included 209 patients who underwent surgical resection for stage I or II lung adenocarcinoma at Nanjing General Hospital between December 2010 and May 2016. 171 cases of patients underwent a pretreatment chest CT. Eleven different CT descriptors were assessed. Multiple logistic regression analyses were performed to identify independent risk factors for the prediction of EGFR mutation. Receiver operating characteristic analysis was used to evaluate the performance of the logistic regression model.

resultsEGFR mutation was determined in 126 patients (60.3%) and appeared more frequently in women ( P  = 0.025), never-smokers ( P  < 0.001), and patients with a carcinoembryonic antigen level <2.6 ng/ml ( P  = 0.045). Papillary predominant adenocarcinomas ( P  = 0.014), intermediate/low pathologic grade tumors ( P  = 0.003), tumors in the upper lobe ( P  = 0.028), and showing ground-glass opacity (GGO) or mixed GGO on CT ( P  = 0.039) also more frequently harbored EGFR mutations. GGO on CT, acinar or papillary predominant adenocarcinoma, and non-smoker were identified in multivariable analyses as significantly independent risk factors. The multiple logistic regression model showed high predictive power for identifying EGFR mutations. The CT features were similar between the L858R and 19 deletion mutations.

conclusionsCombined CT and clinical features may be helpful for determining the presence of EGFR mutations in patients with small peripheral lung adenocarcinoma, particularly in patients where mutational profiling is not available or possible.

Indexed as

AdenocarcinomaAdenocarcinoma of LungAdenocarcinoma, PapillaryAdultAgedBiomarkers, TumorErbB ReceptorsFemaleHumansLungLung NeoplasmsMaleMiddle AgedMutationNeoplasm StagingRetrospective StudiesBiomarkers, TumorEGFR protein, humanErbB ReceptorsComputed tomography (CT)epidermal growth factor receptor (EGFR)lung adenocarcinoma

Identifiers

PMID28383802
PMCPMC5415462

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.