@article{3187450, title = "Genotyping KRAS and EGFR Mutations in Greek Patients With Non-small-cell Lung Cancer: Incidence, Significance and Implications for Treatment", author = "Linardou, Helena and Kotoula, Vassiliki and Kouvatseas, George and and Mountzios, Giannis and Karavasilis, Vasilios and Samantas, Epaminondas and and Kalogera-Fountzila, Anna and Televantou, Despina and Papadopoulou, and Kyriaki and Mavropoulou, Xanthipi and Daskalaki, Emily and Zaramboukas, and Thomas and Efstratiou, Ioannis and Lampaki, Sofia and Rallis, Grigorios and and Res, Eleni and Syrigos, Konstantinos N. and Kosmidis, Paris A. and and Pectasides, Dimitrios and Fountzilas, George", journal = "Cancer Genomics & Proteomics", year = "2019", volume = "16", number = "6", pages = "531-541", publisher = "INT INST ANTICANCER RESEARCH", issn = "1109-6535, 1790-6295", doi = "10.21873/cgp.20155", keywords = "KRAS; EGFR; mutations; platinum-based chemotherapy; NSCLC", abstract = "Background/Aim: KRAS mutations are reported in 20-25% of non-small cell lung cancer (NSCLC) and their prognostic role is unclear. We studied KRAS and EGFR genotyping in Greek NSCLC patients. Patients and Methods: KRAS and EGFR genotypes were centrally evaluated in 421 NSCLC patients (diagnosed September 1998 -June 2013) and associated with clinicopathological parameters. Outcome comparisons were performed in 288 patients receiving first line treatment. Results: Most patients were male (78.6%), >60 years old (63.9%), current smokers (51.1%), with adenocarcinoma histology (63.9%). EGFR and KRAS mutations were found in 10.7% and 16.6% of all histologies, respectively, and in 14.9% and 21.9% of adenocarcinomas. At 4.5 years median follow-up, KRAS status was an independent negative prognostic factor for overall survival (OS, p=0.016). KRAS mutations conferred 80% increased risk of death in patients receiving first-line treatment (p=0.002). Conclusion: The presence of KRAS mutations is an independent negative prognosticator among Greek NSCLC patients and an independent response predictor to first line treatment." }