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PCR直接测序法与ARMS检测非小细胞肺癌EGFR基因突变 被引量:5

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摘要 目的 比较PCR直接测序法与蝎形探针扩增阻滞突变系统(amplification refractory mutation system,ARMS)检测非小细胞肺癌(non-small cell lung cancer,NSCLC)中EGFR基因突变的敏感性.方法 用直接测序发与ARMS法同时检测154例NSCLC中EGFR基因第18、19、20、21外显子的突变情况.结果 男性84例,女性70例,年龄33 ~ 86岁,手术切除标本71例、活检标本79例,其中鳞状细胞癌27例、腺癌121例、腺鳞癌2例;另4例为胸水.测序法32例突变(32/154,20.8%),ARMS法52例突变(53/154,33.8%).两种方法均检测到突变者29例,均无突变者99例,直接测序法检测到突变而ARMS法阴性者3例,反之23例,不一致率差异有显著性(P<0.000 1).结论 检测NSCLC中EGFR突变情况时,ARMS法较直接测序法操作步骤少,突变率高.
出处 《临床与实验病理学杂志》 CAS CSCD 北大核心 2014年第3期328-332,共5页 Chinese Journal of Clinical and Experimental Pathology
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