Table 1– Comparison of intra-tumoural heterogeneity of EGFR mutational status in resected primary tumour with trans-sectional analysis
First author, year [ref.]Population studiedCases/sections or areas per case n/NDetection methodsTumour enrichment strategyPure mutated EGFR cases (group A)Pure wild-type EGFR cases (group B)EGFR mutant with heterogeneity (group C)PFS response to EGFR-TKIs
Yatabe, 2011 [22]Resected lung adenocarcinoma with EGFR mutation50/3 5/>100Cycleave PCR/FAManual MD100NA0NA
Sun, 2012 [23]Early-stage mixed adenocarcinoma10/2–3DSManual MD80200NA
Mattsson, 2012 [24]Resected NSCLC with EGFR mutation6/3DSManual MD100NA0NA
Jiang, 2008 [17]Stage IIIB/IV
EGFR mutated
gefitinib-responsive
NSCLC with AR
6/11–32DSLaser MD50NA50NA
Taniguchi, 2008 [18]Resected NSCLC treated with gefitinib for postoperative recurrence21/50–60SNaP shotLaser MD71.4NA28.618 months for group A versus 7.5 months for group C
Bai (2012) [19]Stage III/IV NSCLC with palliative resection79/30–40DHPLC/ARMSLaser MD20.341.838NA
Bai, 2013 [20]Stage III/IV NSCLC with palliative resection85/total 2699 areasDHPLC/ARMSLaser MD24.7 (DHPLC) 36.5 (ARMS)42.4 (DHPLC) 35.3 (ARMS)32.9 (DHPLC) 28.2 (ARMS)16 months for group A versus 11 months for group C versus 3 months for group B
Tomonaga, 2013 [21]Stage I resected mixed adenocarcinoma38/NARFLPLaser MD26.35024NA
  • Data are presented as %, unless otherwise stated. EGFR: epidermal growth factor receptor; PFS: progression-free survival; TKI: tyrosine kinase inhibitor; FA: fragment analysis; MD: microdissection; NA: not available; DS: direct Sanger sequencing; NSCLC: nonsmall cell lung cancer; AR: acquired resistance; SNaP shot: single nucleotide primer extension reaction using the SNaPshot multiplex kit (Life Technologies, Carlsbad, CA, USA); DHPLC: denaturing high-performance liquid chromatography; ARMS: amplification refractory mutation system; RFLP: restriction fragment length polymorphism.