World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc
Journal website http://www.wjon.org

Original Article

Volume 2, Number 6, December 2011, pages 275-280


Accuracy of Cytology Specimen and Needle Core Biopsies for Detection of KRAS Mutation in Non-Small Cell Carcinoma: Comparison With Resection Specimen

Figure

Figure 1.
Figure 1. Example (case 6, Table 3) of DNA sequence (anti-sense) of KRAS mutation in cytologic smear and corresponding surgical section. KRAS mutation in code 12 (G12C) were identified in both cytologic and corresponding surgical specimen. Please note that mutant peak (C > A) is higher in cytologic smear than in surgical resection.

Tables

Table 1. Primer Used for COLD PCR
 
NameSequence
All Sequences Were Synthesized by Integrated DNA Technologies Inc. (Coralville, IA)
*F for forward and R for reverse.
*KRAS-ZuoF105'-TATAAACTTGTGGTAGTTGG-3'
*KRAS-ZuoR105'-ATTGTTGGATCATATTCGT-3'

 

Table 2. Detection of KRAS Mutation in Needle Biopsies and Corresponding Surgical Resections
 
Case IDBiopsySurgicalConcordance
% tumorResult (base)% tumorResult (base)
130G12V (GTT)50G12V (GTT)Yes
225G12D (GAT)70G12D (GAT)Yes
340G12C (TGT)40G12C (TGT)Yes
430G12C (TGT)30G12C (TGT)Yes
530No mutant40No mutantYes
6< 10G12S (AGT)70G12S (AGT)Yes
750No mutant60No mutantYes
840G12A (GCT)3012A (GCT)Yes
950No mutant60No mutantYes
1010G12A (GCT)2512A (GCT)Yes

 

Table 3. Detection of KRAS Mutation in Cytology Cell Blocks and Corresponding Surgical Resections
 
Case IDCytology Cell BlockSurgicalConcordance
% tumorResult (base)% tumorResult (base)
1< 10G12V (GTT)50G12V (GTT)Yes
215G12C (TGT)40G12C (TGT)Yes
330G12D (GAT)60G12D (GAT)Yes
430G12V (GTT)60G12V (GTT)Yes
520No mutation detectable35G12C (TGT)No
6< 2No mutation detectable40G12C (TGT)No
72No mutation detectable20G12D (GAT)No
860No mutation60No mutationYes

 

Table 4. Detection of KRAS Mutation in Cytology Smears and Corresponding Surgical Resections
 
Case IDCytology SmearSurgicalConcordance
% tumor1Result (base)% tumorResult (base)
1Not applicable since the tumor cells are isolated on smears with pinpoint technique; 2Small mutation peak at code 13 (GAC) as well
1N/ANo mutant30No mutantYes
2N/AG12D (GAT)60G12D (GAT)Yes
3N/AG12D (GAT)30G12D (GAT)Yes
4N/AG12V (GTT)25G12V (GTT)Yes
5N/AG12C (TGT)35G12C (TGT)Yes
6N/AG12C (TGT)40G12C (TGT)Yes
7N/AG12D (GAT)220G12D (GAT)Yes
8N/AG12D ( GAT)35G12D ( GAT)Yes
9N/AG12F (TTT)40No mutationNo