Navigating the Evolving Treatment Paradigm for _EGFR_-Mutant NSCLC

In non-small cell lung cancer (NSCLC), the most prevalent driver mutations in epidermal growth factor receptor (_EGFR_) are deletions in exon 19 (Ex19del) and L858R mutations in exon 21, which comprise approximately 90% of all _EGFR_ mutations. In contrast, exon 20 insertion (Ex20ins) mutations are...

Full description

Saved in:
Bibliographic Details
Main Author: Sebastian Kraus
Format: Article
Language:English
Published: THE HEALTHBOOK COMPANY LTD. 2024-10-01
Series:healthbook TIMES. Oncology Hematology
Online Access:https://doi.org/10.36000/HBT.OH.2024.21.154
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841525491082723328
author Sebastian Kraus
author_facet Sebastian Kraus
author_sort Sebastian Kraus
collection DOAJ
description In non-small cell lung cancer (NSCLC), the most prevalent driver mutations in epidermal growth factor receptor (_EGFR_) are deletions in exon 19 (Ex19del) and L858R mutations in exon 21, which comprise approximately 90% of all _EGFR_ mutations. In contrast, exon 20 insertion (Ex20ins) mutations are relatively rare, accounting for up to 12% of _EGFR_ mutations and ranking third in frequency. Given the many treatment options available for NSCLC and the increasing understanding of the interactions between mutations and common therapies in the palliative stages, comprehensive next-generation sequencing (NGS) is recommended at the initial stage, particularly for adenocarcinomas. _EGFR_ Ex20ins mutations are a molecularly heterogeneous group of over 100 variants that are identified through NGS using tumor DNA. The high prevalence of these _EGFR_ mutations in NSCLC has led to significant research efforts aimed at optimizing therapeutic options for patients. This review article highlights the key findings from recent studies in the field of _EGFR_ mutations in NSCLC. PEER REVIEWED ARTICLE **Peer reviewers:** Dr Wolf-Dieter Janthur, Cantonal Hospital Aarau, Aarau, Switzerland Dr David König, University Hospital Basel, Basel, Switzerland One anonymous peer reviewer Received on May 13, 2024; accepted after peer review on September 15, 2024; published online on October 02, 2024.
format Article
id doaj-art-cef8385fa5c2443e8dad9871d7afdb7c
institution Kabale University
issn 2673-2106
language English
publishDate 2024-10-01
publisher THE HEALTHBOOK COMPANY LTD.
record_format Article
series healthbook TIMES. Oncology Hematology
spelling doaj-art-cef8385fa5c2443e8dad9871d7afdb7c2025-01-17T12:15:34ZengTHE HEALTHBOOK COMPANY LTD.healthbook TIMES. Oncology Hematology2673-21062024-10-01213Navigating the Evolving Treatment Paradigm for _EGFR_-Mutant NSCLCSebastian KrausIn non-small cell lung cancer (NSCLC), the most prevalent driver mutations in epidermal growth factor receptor (_EGFR_) are deletions in exon 19 (Ex19del) and L858R mutations in exon 21, which comprise approximately 90% of all _EGFR_ mutations. In contrast, exon 20 insertion (Ex20ins) mutations are relatively rare, accounting for up to 12% of _EGFR_ mutations and ranking third in frequency. Given the many treatment options available for NSCLC and the increasing understanding of the interactions between mutations and common therapies in the palliative stages, comprehensive next-generation sequencing (NGS) is recommended at the initial stage, particularly for adenocarcinomas. _EGFR_ Ex20ins mutations are a molecularly heterogeneous group of over 100 variants that are identified through NGS using tumor DNA. The high prevalence of these _EGFR_ mutations in NSCLC has led to significant research efforts aimed at optimizing therapeutic options for patients. This review article highlights the key findings from recent studies in the field of _EGFR_ mutations in NSCLC. PEER REVIEWED ARTICLE **Peer reviewers:** Dr Wolf-Dieter Janthur, Cantonal Hospital Aarau, Aarau, Switzerland Dr David König, University Hospital Basel, Basel, Switzerland One anonymous peer reviewer Received on May 13, 2024; accepted after peer review on September 15, 2024; published online on October 02, 2024.https://doi.org/10.36000/HBT.OH.2024.21.154
spellingShingle Sebastian Kraus
Navigating the Evolving Treatment Paradigm for _EGFR_-Mutant NSCLC
healthbook TIMES. Oncology Hematology
title Navigating the Evolving Treatment Paradigm for _EGFR_-Mutant NSCLC
title_full Navigating the Evolving Treatment Paradigm for _EGFR_-Mutant NSCLC
title_fullStr Navigating the Evolving Treatment Paradigm for _EGFR_-Mutant NSCLC
title_full_unstemmed Navigating the Evolving Treatment Paradigm for _EGFR_-Mutant NSCLC
title_short Navigating the Evolving Treatment Paradigm for _EGFR_-Mutant NSCLC
title_sort navigating the evolving treatment paradigm for egfr mutant nsclc
url https://doi.org/10.36000/HBT.OH.2024.21.154
work_keys_str_mv AT sebastiankraus navigatingtheevolvingtreatmentparadigmforegfrmutantnsclc