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Correspondence
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Volume 351:1260-1261 September 16, 2004 Number 12
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EGFR Mutations and Sensitivity to Gefitinib

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 by Lynch, T. J.
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To the Editor: The important study by Dr. Lynch and colleagues (May 20 issue)1 suggests that specific mutations in the epidermal growth factor receptor (EGFR) characterize a subgroup of non–small-cell lung cancers that may be highly responsive to gefitinib therapy. Do these mutations predict a greater sensitivity to chemotherapy as well? The overall objective response rate to first-line combination chemotherapy for metastatic non–small-cell lung cancer is about 20 percent.2 Only tumors from a small cohort of patients who had a response to gefitinib were studied for the specific mutations, but all patients except one had also received prior chemotherapy. Although . . . [Full Text of this Article]


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