Evidence map›Paper›PMID 31686445›Full record

ArticleBrain tumor research and treatment2019

Discordance of Epidermal Growth Factor Receptor Mutation between Brain Metastasis and Primary Non-Small Cell Lung Cancer.

Kyung Min Kim, Seung Hoon Lee, Seung Min Kim, Nae Yu Kim, Ho Shin Gwak, Sang Hoon Shin, Ji Woong Kwon, Heon Yoo

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In one paragraph

Article in Brain tumor research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

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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

10 citing papers in PubMed.

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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

8 authors.

Kyung Min Kim *Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea.
Seung Hoon Lee *Department of Neurosurgery, Eulji University Hospital, Daejeon, Korea.
Seung Min KimDepartment of Neurosurgery, Eulji University Hospital, Daejeon, Korea.
Nae Yu KimDepartment of Internal Medicine, Eulji University Hospital, Daejeon, Korea.
Ho Shin GwakDepartment of Cancer Control, National Cancer Center Hospital, Goyang, Korea.
Sang Hoon ShinNeuro-Oncology Clinic, National Cancer Center Hospital, Goyang, Korea.
Ji Woong KwonNeuro-Oncology Clinic, National Cancer Center Hospital, Goyang, Korea.
Heon YooNeuro-Oncology Clinic, National Cancer Center Hospital, Goyang, Korea. heonyoo@ncc.re.kr.

Funding

National Cancer Center 1910110-1
6 · The paper itself

Abstract

backgroundThe aim of this study was to compare epidermal growth factor receptor (EGFR) mutations between non-small cell lung cancer (NSCLC) and corresponding brain metastases (BMs) in Korea society.

methodsFrom 2011 to 2016, a total of 74 patients underwent surgical resection of a metastatic brain tumor from NSCLC. Among them, we performed retrospective analysis for 46 patients who underwent EGFR sequencing of primary NSCLC tissues.

resultsAmong these 46 cases, 18 (39.1%) cases showed EGFR mutation in primary lung cancer. Detected mutation sites were exon 19 (8 cases), exon 21 (6 cases), exon 18 (1 cases), and multiple mutations (3 cases). In 18 cases of BM, EGFR mutation studies were done. Among them, 8 (25.6%) cases showed mutation on exon 19 (5 cases) or exon 21 (3 cases). To compare EGFR mutation status between primary lung cancer and BM, 18 paired tissues from both NSCLC and matched BM were collected. Four (22.5%) patients were discordant for the status of EGFR between primary and metastatic sites.

conclusionEGFR mutations were significantly discordant between primary tumors and corresponding metastases in a significant portion of NSCLC. In treatment of BM of EGFR mutant metastatic NSCLC, due to possibility of discordance, pathologic confirming through brain biopsy is recommended.

Indexed as

Epidermal growth factor receptorLung cancerMetastasisMutation

Identifiers

PMID31686445
PMCPMC6829080

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