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Journal Thoracic Oncology
WCLC2016-Abstract-Book_vF-WEB_revNov17-1
WCLC2016-Abstract-Book_vF-WEB_revNov17-1
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Abstracts <strong>Journal</strong> of <strong>Thoracic</strong> <strong>Oncology</strong> • Volume 12 Issue S1 January 2017<br />
lung cancer, we therefore, focused on the role of SA-1 in NSCLC. Methods: We<br />
performed immunohistochemical analysis (IHC) of 190 cancers and compared<br />
to benign tissue through standard techniques. We also extracted SA-1 data<br />
from the TCGA databases (Nature 2012 & 2014). Results: SA-1 was markedly<br />
(~2-3 fold) overexpressed in all types of NSCLC (p
Abstracts <strong>Journal</strong> of <strong>Thoracic</strong> <strong>Oncology</strong> • Volume 12 Issue S1 January 2017 lung cancer, we therefore, focused on the role of SA-1 in NSCLC. Methods: We performed immunohistochemical analysis (IHC) of 190 cancers and compared to benign tissue through standard techniques. We also extracted SA-1 data from the TCGA databases (Nature 2012 & 2014). Results: SA-1 was markedly (~2-3 fold) overexpressed in all types of NSCLC (p
Abstracts <strong>Journal</strong> of <strong>Thoracic</strong> <strong>Oncology</strong> • Volume 12 Issue S1 January 2017 POSTER SESSION 2 – P2.02: LOCALLY ADVANCED NSCLC BIOLOGY – TUESDAY, DECEMBER 6, 2016 P2.02-002 ASSOCIATION BETWEEN VEGF GENE FUNCTIONAL POLYMORPHISMS AND CLINICAL AND PATHOLOGICAL CHARACTERISTICS OF NON-SMALL CELL LUNG CANCER Anna Shchayuk 1 , Evelina Krupnova 1 , Michael Shapetska 2 , Alena Mikhalenka 1 , Natalia Chebotaryova 1 , Svetlana Pissarchik 3 1 Institute of Genetics and Cytology, National Academy of Sciences of Belarus, Minsk/Belarus, 2 Belarusian State Medical University, Minsk/Belarus, 3 City Clinical Pathologoanatomic Bureau, Minsk/Belarus Background: Vascular endothelial growth factor (VEGF) is one of the most important angiogenic factor, which promotes endothelial cell growth and tumor neovascularization. VEGF expression is a marker of invasiveness and tumor progression in various cancers including in NSCLC. The aim of this study was to analyze association between VEGF gene functional polymorphisms and clinical and pathological characteristics of NSCLC. Methods: A total of 276 people with histological diagnosis of squamous cell carcinoma (SCC) and adenocarcinoma (AC) were included in this study. All patients gave their informed consent. VEGF gene polymorphisms were determined by PCR-RFLP analysis. Statistical analysis of the material was carried out using SNPStats online program. Results: Analysis of rs699947 polymorphism association with clinical and pathological characteristics of the tumor showed that patients with -2578CC genotype are more likely to have a greater extent of the primary tumor (T2-T4) than a small non-invasive cancer (T1): p = 0.005; OR = 2.54, 95% CI: 1.35-4.77. Association between this polymorphism and regional lymph node metastasis and the stage of the disease was found. A-allele is protective against a more aggressive course of the disease: in patients with -2578AA genotype regional lymph node metastases (N1-3) occur less frequently as compared to -2578CC genotype carriers (p = 0.0098; OR = 0.34, 95% CI: 0.17- 0.69). -2578A-allele carriers are less likely to have stages of the disease III and IV (p = 0.012 and 0.015 respectively). A tendency of rs3025039 polymorphism influence on the histological type of the tumor was identified. + 936TT genotype is more common in patients with SCC as compared to AC (p = 0.055; OR = 4.78, 95% CI: 1.01-22.71). For rs2010963 polymorphism the association with clinical and pathological characteristics of NSCLC was not identified. Haplotype analysis of three studied polymorphisms of VEGF gene showed a significant association between -634C/-2578C/+936C haplotype and a small non-invasive cancer (p = 0.0068). -634G/-2578C/+936C haplotype carriers showed high aggressiveness of the disease (stage - p = 0.0061; regional lymph node metastasis - p= 0.0014). Conclusion: -2578CC genotype of rs699947 polymorphism VEGF gene is associated with a large size of the primary tumor focus, the occurrence of regional lymph node metastasis and a greater stage of the disease. High aggressiveness of the disease was revealed in -634G/- 2578C/+936C haplotype carriers. A significant association between -634C/- 2578C/+936C haplotype and small non-invasive cancer was showed. Keywords: VEGF gene polymorfisms, vascular endothelial growth factor, nonsmall cell lung cancer, angiogenesis POSTER SESSION 2 – P2.02: LOCALLY ADVANCED NSCLC BIOLOGY – TUESDAY, DECEMBER 6, 2016 P2.02-003 INCREASED CIRCULATING CYTOKERATIN-19 (CYFRA 21-1) IS PREDICTIVE OF POOR OUTCOME OF LOCALLY ADVANCED SQUAMOUS CELL CARCINOMA IN LUNG Jingbo Wang 1 , Zhe Ji 1 , Jianzhong Cao 2 , Yan Ma 3 , Wei Jiang 1 , Lipin Liu 1 , Yu Men 1 , Cai Xu 1 , Xiaozhen Wang 1 , Zhou Guang Hui 1 , Jun Liang 1 , Jima Lv 1 , Zongmei Zhou 1 , Zefen Xiao 1 , Qinfu Feng 1 , Dongfu Chen 1 , Hongxing Zhang 1 , Weibo Yin 1 , Luhua Wang 1 1 Radiation <strong>Oncology</strong>, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing/China, 2 Cancer Hospital of Shanxi Cancer Hospital, Taiyuan/China, 3 Radiology, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing/China Background: Our goal was to evaluate the prognostic significance of circulating tumour markers in locally advanced squamous cell carcinoma of lung (LA-SCCL). Methods: Eligible patients included those with histologically proven LA-SCCL, available baseline tumour marker panel analysis (carcinoembryonic antigen [CEA], carcinoma antigen 125 [CA125], squamous cell carcinoma antigen [SCC], cytokeratin-19 [Cyfra 21-1] and neuron-specific enolase [NSE]) and receiving definitive radiotherapy. Age, gender, radiation dose, baseline KPS, smoking history, weightless, TNM stage, PET staging, RT technique and treatment modality (radiotherapy alone vs. sequential chemoradiotherapy vs. concurrent chemoradiotherapy) were also retrospectively collected. To dichotomise the continuous values of tumour markers into categorical variables, ROC analysis was adopted to identify the optimal cutoff values using the progression within 2 years after diagnosis as the endpoint. Cox regression based multivariate analyses were used to select independent factors correlated with various survival endpoints. Overall survival (OS), local regional progression free survival (LRPFS) and distant metastasis free survival (DMFS) were defined as the time from diagnosis until the first occurrence of specific event: death, local-regional recurrence or distant metastasis, respectively. Progression free survival (PFS) was defined as the duration between the cancer diagnosis and the date of any progression or cancer related death. Results: A total of 216 patients with LA-SCCL were analyzed. The optimal discriminative values for CEA, CA125, SCC, Cyfra 21-1 and NSE in predicting 2-y progression were 5.3 ng/ml, 17.0 U/ml, 2.5 ng/ml, 5.2 ng/ml and 17.8 ng/ml, respectively. Univariate analyses showed that increased Cyfra 21-1 was associated with inferior OS, LRPFS, DMFS and PFS. Increased NSE was predictive of poor OS, DMFS and PFS. CEA also presented significant correlation with OS. Under multivariate analysis involving all clinical and tumour markers, IIIA stage, better performance status, CEA ≤ 5.3 ng/ml and Cyfra 21-1 ≤ 5.2 ng/ml were independently associated with improved OS. IMRT technique, RT dose ≥ 60Gy and Cyfra 21-1 ≤ 5.2 ng/ml were correlated with better LRPFS. None-smoker, IIIA stage, NES ≤ 17.8 ng/ml were favourable predictors for DMFS. IIIA stage, KPS ≥ 80 and Cyfra 21-1 ≤ 5.2 ng/ml were advantageous factors related with favourable PFS. Conclusion: Baseline tumour marker panel including Cyfra 21-1, NSE and CEA can be prognostic of OS, local and distant tumor control for LA-SCCL, and should be recommended for baseline evaluation of tumour burden. Keywords: Non-small cell lung cancer, squamous cell carcinoma, serum tumor marker, prognosis POSTER SESSION 2 – P2.02: LOCALLY ADVANCED NSCLC BIOLOGY – TUESDAY, DECEMBER 6, 2016 P2.02-004 REAL-TIME MONITORING OF CIRCULATING TUMOR CELLS TO EVALUATE RESPONSE OF NEOADJUVANT CHEMOTHERAPY IN LOCALLY ADVANCED NSCLC Miao Huang, Yuanyuan Ma, Yue Yang Peking University Cancer Hospital and Institute, Beijing/China Background: Enumeration and karyotyping of circulating tumor cells (CTCs) in therapeutic cancer patients is of particular clinical significance. The aim of this study is to evaluate therapeutic effect of neoadjuvant chemotherapy (NAC) by means of real-time monitoring of CTCs in locally advanced nonsmall cell lung cancer (NSCLC). Methods: Real-time monitoring of CTCs in the course of 2 cycles of platinum-based NAC was conduct in 34 locally advanced NSCLC patients. The integrated subtraction enrichment and immunostaining fluorescence in situ hybridization (SE-iFISH) method was applied to detect and characterize CTCs in peripheral venous blood. Chest CT was used to evaluate therapeutic response with RECIST 1.1 as the evaluation criterion. Results: Of the 34 patients enrolled, 13 acquired partial response (PR) and 21 were stable diseases (SD) after NAC. The numbers of CTCs were found decrease in 70% of PR patients and only 25% of SD patients. The changes of CTC count were significantly different between PR and SD group (p=0.009). The positive rate of CTCs with triploidy of chromosome 8 increased after 2 cycles platinum-based NAC, and the elevation was even more remarkable in SD group. Conclusion: The changes of CTC count after NAC were in accordance with CT responses. Triploidy of chromosome 8 CTC was correlated with primary resistance to platinum-based chemotherapy. Real-time monitoring of CTC count and karyotype may be of clinical value in rapid evaluation of therapeutic effect and monitoring occurrence of chemo-resistance. Keywords: non-small cell lung cancer, neoadjuvant chemotherapy, Circulating tumor cell, Therapeutic response POSTER SESSION 2 – P2.02: LOCALLY ADVANCED NSCLC BIOLOGY – TUESDAY, DECEMBER 6, 2016 P2.02-005 A RARE CLINICAL PRESENTATION OF EGFR-MUTANT NON-SMALL CELL LUNG CANCER WITH OLIGO-ACROMETASTASIS Pınar Akın Kabalak 1 , Tuba Inal Cengiz 1 , Ugur Yılmaz 1 , Derya Kızılgöz 1 , Metehan Karaca 2 , Fatma Canbay 1 , Inci Uslu 3 , Yetkin Ağaçkıran 4 , Kyle Wang 5 1 Chest Disease, Ankara Atatürk Chest Disease and <strong>Thoracic</strong> Surgery Training and Research Hospital, Ankara/Turkey, 2 Radiation <strong>Oncology</strong>, Ankara Atatürk Chest Disease and <strong>Thoracic</strong> Surgery Training and Research Hospital, Ankara/Turkey, 3 Nuclear Medicine, Ankara Atatürk Chest Disease and <strong>Thoracic</strong> Surgery Training and Research Hospital, Ankara/Turkey, 4 Ankara Atatürk Training and Research Hospital, Ankara/Turkey, 5 Radiation <strong>Oncology</strong>, University of North Carolina Hospitals, Chapel Hill/NC/United States of America Background: 44% of acrometastasis are originated from primary lung tumors and metastasis to digits is seen in 0.2% of patients with lung cancer. After Copyright © 2016 by the International Association for the Study of Lung Cancer S443
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LILLY ONCOLOGY IS DEDICATED TO ADVA
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