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Chinese Journal of Lung Diseases(Electronic Edition) ›› 2020, Vol. 13 ›› Issue (02): 164-168. doi: 10.3877/cma.j.issn.1674-6902.2020.02.008

• Original Article • Previous Articles     Next Articles

Clinical features of E19-Del and L858R gene mutations in patients with non-small cell lung cancer

Yanfeng Fang1, Lijie Ma2, Yansheng Liu1, Yandong Nan1, Wei Su1, Faguang Jin1, Tao Zhang1, Hongjun Zhang1,()   

  1. 1. Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Air Force Military Medical University, Xi′an 710038, China
    2. Department of Pulmonary and Critical Care Medicine, General Hospital of Western Theater Command, Chengdu 610083, China
  • Received:2019-06-11 Online:2020-04-25 Published:2021-07-22
  • Contact: Hongjun Zhang

Abstract:

Objective

To study the clinical characteristics of patients of non-small cell lung cancer (NSCLC) who had E19-Del and L852R gene mutation.

Methods

This study summarized total 498 patients of NSCLC who received gene tests in respiratory and critical care medicine department in Tangdu hospital, The Fourth Military Medical University from Jul. 2012 to Jul. 2018. The correlations between the E19-Del and L852R gene mutation and the clinical characteristics of the patients were retrospective analyzed.

Results

E19-Del gene mutation rate was declining in the following groups: the age less than 50 years, the age more than 70 years and the age between 50 years and 70 years (χ2=5.984, P=0.050). Non-smokers had higher E19-Del gene mutation rate than patients who smoke more than 20 cigarettes a day (χ2=4.328, P=0.037). E19-Del gene mutation rate also declined in the following groups: adenocarcinoma and other types of NSCLC (χ2=12.197, P=0.000). And E19-Del gene mutation rate was declining as the reducing of pathological stage (χ2=6.625, P=0.036). L858R gene mutation rate of female was higher than male (χ2=13.755, P=0.000). As the lessening of patients smoking degree, L858R gene mutation rate was declining (χ2=7.234, P=0.027). L858R gene mutation rate also declined in the following groups: adenocarcinoma and other types of NSCLC (χ2=5.538, P=0.021). L858R gene mutation of patients who had pleura metastasis was higher than who did not (χ2=4.004, P=0.045).

Conclusion

There is some significant difference of clinical features in E19-Del gene mutation with non-smoking and young people in NSCLC. Then L858R gene mutation rate was high in non-smoking women and patients who had pleura metastasis. Both E19-Del and L858R gene mutation rate had no significant correlations with whether patients had different tumor position, diabetes, high blood pressure, bone metastasis, cranium metastasis and lymphomatous metastasis.

Key words: non-small cell lung cancer, E19-Del, R858L, clinical characteristics

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