Clinical Edge

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Brain Metastases from NSCLC

Lung Cancer; ePub 2016 Apr 6; Hsu, et al

There is a higher incidence of brain metastases for patients with EGFR+ metastatic non-small cell lung cancer (NSCLC), even when adjusted for differences in survival, compared to EGFR wild type (WT). This according to a study of 541 patients with NSCLC, including 121 with EGFR+ and 422 with EGFR WT. Researchers found:

• Cumulative incidence of brain metastases was 39.2% for patients with EGFR+ vs 28.2% for EGFR WT.

• In multivariate analysis, younger age and EGFR+ status were significant factors for developing brain metastases.

• Median survival for the EGFR+ cohort was 22.4 months vs 7.9 months for the EGFR WT cohort.

• In multivariate analysis, poor performance status and brain metastases were factors significant for worse survival.

Citation: Hsu F, De Caluwe A, Anderson D, Nichol A, Toriumi T, Ho C. EGFR mutation status on brain metastases from non-small cell lung cancer. [Published online ahead of print April 6, 2016]. Lung Cancer. doi:10.1016/j.lungcan.2016.04.004.