Browsing by Author "Cengiz T.I."
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Item Effect of Asbestos Exposure on the Frequency of EGFR Mutations and ALK/ROS1 Rearrangements in Patients With Lung Adenocarcinoma: A Multicentric Study(Lippincott Williams and Wilkins, 2021) Yilmaz S.; Demirci N.Y.; Metintas S.; Zamani A.; Karadag M.; Guçlu O.A.; Kabalak P.A.; Yilmaz U.; Ak G.; Kizilgoz D.; Ozturk A.; Yilmaz U.; Batum O.; Kavas M.; Serifoglu I.; Unsal M.; Komurcuoglu B.E.; Cengiz T.I.; Ulubay G.; Ozdemirel T.S.; Ozyurek B.A.; Kavurgacı S.; Alizoroglu D.; Celik P.; Erdogan Y.; In E.; Aksoy A.; Altin S.; Gunluoglu G.; Metintas M.Objective: The aim of this study is to investigate the effect of asbestos exposure on cancer-driver mutations. Methods: Between January 2014 and September 2018, epidermal growth factor receptor (EGFR), anaplastic lymphoma receptor tyrosine kinase (ALK), and c-ros oncogene 1 receptor tyrosine kinase gene (ROS1) alterations, demographic characteristics, asbestos exposure, and asbestos-related radiological findings of 1904 patients with lung adenocarcinoma were recorded. Results: The frequencies of EGFR mutations, ALK, and ROS1 rearrangements were 14.5%, 3.7%, and 0.9%, respectively. The rates of EGFR mutations and ALK rearrangements were more frequent in asbestos exposed non-smokers (48.7% and 9%, respectively). EGFR mutation rate was correlated to female gender and not-smoking, ALK rearrangement rate was correlated to younger age, not-smoking, and a history of asbestos exposure. Conclusions: The higher rate of ALK rearrangements in asbestos-exposed lung adenocarcinoma cases shows that asbestos exposure may most likely cause genetic alterations that drive pulmonary adenocarcinogenesis. Copyright © 2020 American College of Occupational and Environmental Medicine.