First author, year [ref.] | Population studied | Cases with paired biopsy and resection n | Detection methods | Tumour enrichment strategy | EGFR mutation in both biopsy and resection | EGFR WT in both biopsy and resection | EGFR mutation in biopsy and EGFR WT in resection | EGFR WT in biopsy and EGFR mutation in resection | Discordance rate between biopsy versus resection |
Solomon, 2010 [26] | Stage I/II ADC (neoadjuvant gefitinib) | 16 | DS | NA | 31.3 | 68.7 | 0 | 0 | 0 |
Masago, 2008 [27] | Paired biopsy and resection specimens | 19 | DS | MD | 47.4 | 47.4 | 0 | 5.3# | 0# |
Han, 2012 [28] | Paired biopsy and resection with | 23 | DS | NA | 52.2 | 47.8 | 0 | 0 | 0 |
>20% tumour cellularity | PNA clamping | 52.2 | 30.4 | 17.4 | 0 | 17.4 |
Data are presented as %, unless otherwise stated. EGFR: epidermal growth factor receptor; WT: wild-type; ADC: adenocarcinoma; DS: direct Sanger sequencing; NA: not available; MD: microdissection; PNA: peptide–nucleic acid. #: the amount of DNA from one biopsy specimen was not sufficient and only one exon (exon 19) was sequenced and demonstrated to be wild type, and the corresponding resection specimen showed L858R mutation in exon 21; therefore, this case was not counted as discordant.