Lack of Mutations inEGFRin Gastroenteropancreatic Neuroendocrine Tumors

Authors:
  • JGJudith A. Gilbert
    Judith A. Gilbert
  • RLRicardo V. Lloyd
    Ricardo V. Lloyd
  • MAMatthew M. Ames
    Matthew M. Ames

Abstract
To the Editor: Lynch et al.1 and Paez et al.2 correlated the presence of somatic mutations in the tyrosine kinase domain of the gene that encodes the epidermal growth factor receptor (EGFR) with responsiveness to gefitinib in non–small-cell lung carcinoma. Neuroendocrine differentiation is present in a substantial number of gastroenteropancreatic neuroendocrine tumors,3 and EGFR expression occurs in such tumors.4 We sought EGFR-activating mutations in a series of rare gastroenteropancreatic neuroendocrine cancers. DNA was isolated from flash-frozen specimens of carcinoid and pancreatic endocrine tumors; EGFR exons 18, 19, and 21 were amplified by the polymerase chain reaction with primers . . .