• 1. Department of Pathology, Central Hospital of Zibo City, Zibo 255036 Shandong, P. R. China;
  • 2. Department of Breast and Thyroid Surgery, Central Hospital of Zibo City, Zibo 255036 Shandong, P. R. China;
  • 3. Department of Thoracic Surgery, Central Hospital of Zibo City, Zibo 255036 Shandong, P. R. China;
  • 4. Department of Pathology, Peking Union Medical College Hospital, Beijing 100730, P. R. China;
YINYing-chun, Email: yingchun1126@163.com
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Objective To explore the relationship of the clinicopathological characteristics of non-small cell lung cancer (NSCLC) with the mutations of epidermal growth factor receptor (EGFR), K-ras and EML4-ALK fusion gene in cell blocks of pleural effusion (PLE). Methods A total of 268 cytological specimens of PLE (pleural effusion), from Central Hospital of Zibo city were collected from advanced NSCLC patients between January 2012 year and June 2014 year. There were 165 male and 103 female patients at age of 53.6 (31-76) years. Qualitative diagnosis has been made in the 268 patients using PLE samples with conventional smear. Immunohistochemical staining combined with cell block section were used for further classification. There were 76 patients diagnosed as NSCLC with 39 patients of adenocarcinoma and 37 patients of squamous-cell carcinoma. In the 76 patients of lung biopsy specimens and PLE, EGFR and K-ras mutations, EML4-ALK fusions were tested. Results EGFR mutations rate was 34.21% (26/76). K-ras mutations rate was 6.58% (5/76). EML4-ALK fusions rate was 7.89% (6/76) at the same time. EGFR and K-ras mutations, EML4-ALK fusions were mostly found in young female adenocarcinoma patients who were non-smokers. EGFR and K-ras mutations or EML4-ALK fusions were not found in the same patient. Conclusion Cytological specimens are feasible for detecting EGFR were K-ras mutations and EML4-ALK fusions. This will especially benefit to patients whose histological specimen can not be obtained.

Citation: YINYing-chun, WANGXin-mei, LILiang, HANHong-mei, ZHANGBao-hua, LIANGXiao, HOUZhen-bo, MENGYun-xiao. Detection of EGFR K-ras Mutations and ELM4-ALK Fusion Gene in Non-small Cell Lung Cancer using Cytological Specimen Materials and Their Clinical Pathology Significance. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(9): 870-874. doi: 10.7507/1007-4848.20150217 Copy

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