Table 2– Comparison of EGFR mutational status of biopsy and resected non-small cell lung cancer specimens
First author, year [ref.]Population studiedCases with paired biopsy and resection nDetection methodsTumour enrichment strategyEGFR mutation in both biopsy and resectionEGFR WT in both biopsy and resectionEGFR mutation in biopsy and EGFR WT in resectionEGFR WT in biopsy and EGFR mutation in resectionDiscordance rate between biopsy versus resection
Solomon, 2010 [26]Stage I/II ADC (neoadjuvant gefitinib)16DSNA31.368.7000
Masago, 2008 [27]Paired biopsy and resection specimens19DSMD47.447.405.3#0#
Han, 2012 [28]Paired biopsy and resection with23DSNA52.247.8000
>20% tumour cellularityPNA clamping52.230.417.4017.4
  • 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.