Hybrid Capture-Based Comprehensive Genomic Profiling Identifies Lung Cancer Patients with Well-Characterized Sensitizing Epidermal Growth Factor Receptor Point Mutations That Were Not Detected by Standard of Care Testing.
James H SuhAlexa B SchrockAdrienne JohnsonDoron LipsonLaurie M GayShakti RamkissoonJo-Anne VergilioJulia A ElvinAbdur ShakirPeter RuehlmanKaren L ReckampSai-Hong Ignatius OuJeffrey S RossPhilip J StephensVincent A MillerSiraj M AliPublished in: The oncologist (2018)
This study points out that genomic profiling, as based on hybrid capture next-generation sequencing, can identify lung cancer patients with point mutation in epidermal growth factor receptor (EGFR) missed by standard molecular testing who can likely benefit from anti-EGFR targeted therapy. Beyond the specific findings regarding false-negative point mutation testing for EGFR, this study highlights the need for oncologists and pathologists to be cognizant of the performance characteristics of testing deployed and the importance of clinical intuition in questioning the results of laboratory testing.