PMID- 30476928 OWN - NLM STAT- MEDLINE DCOM- 20190503 LR - 20190503 IS - 1423-0232 (Electronic) IS - 0030-2414 (Linking) VI - 96 IP - 4 DP - 2019 TI - Molecular Epidemiology of ALK Rearrangements in Advanced Lung Adenocarcinoma in Latin America. PG - 207-216 LID - 10.1159/000493733 [doi] AB - OBJECTIVE: Latin American countries are heterogeneous in terms of lung cancer incidence and exposure to potential carcinogens. We evaluated the frequency and clinical characteristics of ALK rearrangements (ALKr) in Latin America. METHODS: A total of 5,130 lung cancer patients from 10 Latin American countries were screened for inclusion. ALKr detection was performed by fluorescence in situ hybridization (FISH), immunohistochemistry (IHC), and real-time reverse transcriptase-polymerase chain reaction (RT-PCR) to assess method variability. Demographic and clinicopathologic characteristics were analyzed. RESULTS: Among the 5,130 patients screened, 8.4% (n = 433) had nonevaluable FISH tests. Evaluable FISH analyses revealed positive ALKr in 6.8% (320/4,697) of the study population, which included patients from 9 countries. ALKr distribution for each country was: Mexico 7.6% (79/1,034), Colombia 4.1% (10/242), Argentina 6.0% (153/2,534), Costa Rica 9.5% (13/137), Panama 4.4% (5/114), Uruguay 5.4% (2/37), Chile 8.6% (16/185), Venezuela 8.9% (13/146), and Peru 10.8% (29/268). RT-PCR showed high positive (83.6%) and negative (99.7%) predictive values when compared to the gold standard FISH. In contrast, IHC only showed a high negative predictive value (94.6%). CONCLUSIONS: Although there is a clear country and continental variability in terms of ALKr frequency, this difference is not significant and the overall incidence of ALKr in Latin America does not differ from the rest of the world. CI - (c) 2018 S. Karger AG, Basel. FAU - Arrieta, Oscar AU - Arrieta O AD - Thoracic Oncology Unit, Instituto Nacional de Cancerologia (INCan), Mexico City, Mexico, oscararrietaincan@gmail.com. FAU - Cardona, Andres F AU - Cardona AF AD - Clinical and Translational Oncology Group, Institute of Oncology, Clinica del Country, Bogota, Colombia. AD - Foundation for Clinical and Applied Cancer Research-FICMAC, Bogota, Colombia. FAU - Bramuglia, Guillermo AU - Bramuglia G AD - Pharmacy and Biochemistry Faculty, Universidad de Buenos Aires, Buenos Aires, Argentina. AD - Foundation "Investigar", Buenos Aires, Argentina. FAU - Cruz-Rico, Graciela AU - Cruz-Rico G AD - Thoracic Oncology Unit, Instituto Nacional de Cancerologia (INCan), Mexico City, Mexico. FAU - Corrales, Luis AU - Corrales L AD - Medical Oncology Department, Hospital San Juan de Dios, San Jose, Costa Rica. FAU - Martin, Claudio AU - Martin C AD - Medical Oncology Department, Thoracic Oncology Section, Instituto Fleming, Buenos Aires, Argentina. FAU - Imaz-Olguin, Victoria AU - Imaz-Olguin V AD - Oncologia Integral de Alta Especialidad, Hospital ABC, Mexico City, Mexico. FAU - Castillo, Omar AU - Castillo O AD - Internal Medicine-Medical Oncology Department, National Institute of Cancer, Panama City, Panama. FAU - Cuello, Mauricio AU - Cuello M AD - Medical Oncology Department, Universidad de la Republica-UdeLAR, Montevideo, Uruguay. FAU - Rojas-Bilbao, Erica AU - Rojas-Bilbao E AD - Pathology Department, Instituto de Oncologia Angel H. Roffo, University of Buenos Aires, Buenos Aires, Argentina. FAU - Casas, Gabriel AU - Casas G AD - Pathology Department, Hospital Aleman, Buenos Aires, Argentina. FAU - Fernandez, Cristina AU - Fernandez C AD - Pathology Department, Hospital Clinico de la Universidad de Chile, Santiago de Chile, Chile. FAU - Aren Frontera, Osvaldo AU - Aren Frontera O AD - Pathology Department, Hospital Clinico de la Universidad de Chile, Santiago de Chile, Chile. FAU - Denninghoff, Valeria AU - Denninghoff V AD - Centro de Estudios Medicos e Investigaciones Clinicas "Norberto Quirno" (CEMIC), Buenos Aires, Argentina. FAU - Recondo, Gonzalo AU - Recondo G AD - Centro de Estudios Medicos e Investigaciones Clinicas "Norberto Quirno" (CEMIC), Buenos Aires, Argentina. FAU - Aviles-Salas, Alejandro AU - Aviles-Salas A AD - Department of Pathology, Instituto Nacional de Cancerologia (INCan), Mexico City, Mexico. FAU - Mas-Lopez, Luis-Alberto AU - Mas-Lopez LA AD - Instituto Nacional de Enfermedades Neoplasicas, Surquillo, Peru. FAU - Oblitas, George AU - Oblitas G AD - Medical Oncology Department, Thoracic Oncology Section, Instituto Oncologico "Dr. Luis Razetti", Caracas, Venezuela. FAU - Rojas, Leonardo AU - Rojas L AD - Oncology Department, Centro Javeriano de Oncologia, Hospital Universitario San Ignacio, Bogota, Colombia. FAU - Piottante, Antonio AU - Piottante A AD - Department of Pathology, Clinica las Condes, Santiago, Chile. FAU - Jimenez-Garcia, Ernesto AU - Jimenez-Garcia E AD - Tecnicas Geneticas Aplicadas a la Clinica, Mexico City, Mexico. FAU - Sanchez-Sosa, Sergio AU - Sanchez-Sosa S AD - Hospital Angeles de Puebla. Escuela de Medicina UDLAP (Universidad de las Americas Puebla), Puebla, Mexico. FAU - Saenz-Frias, Julia AU - Saenz-Frias J AD - Centro Medico del Noreste, Unidad Medica de Alta Especialidad UMAE, Instituto Mexicano del Seguro Social, Monterrey, Mexico. FAU - Lupera, Hernan AU - Lupera H AD - Department of Pathology, Hospital Metropolitano, Guayaquil, Ecuador. FAU - Ramirez-Tirado, Laura Alejandra AU - Ramirez-Tirado LA AD - Thoracic Oncology Unit, Instituto Nacional de Cancerologia (INCan), Mexico City, Mexico. FAU - Vargas, Carlos AU - Vargas C AD - Clinical and Translational Oncology Group, Institute of Oncology, Clinica del Country, Bogota, Colombia. FAU - Carranza, Hernan AU - Carranza H AD - Clinical and Translational Oncology Group, Institute of Oncology, Clinica del Country, Bogota, Colombia. FAU - Astudillo, Horacio AU - Astudillo H AD - Consejo de Nanopharmacia Diagnostica, Mexico City, Mexico. FAU - Wills, Laura Beatriz AU - Wills LB AD - Foundation for Clinical and Applied Cancer Research-FICMAC, Bogota, Colombia. FAU - Pichelbaur, Ernestina AU - Pichelbaur E AD - Pharmacy and Biochemistry Faculty, Universidad de Buenos Aires, Buenos Aires, Argentina. FAU - Raez, Luis E AU - Raez LE AD - Memorial Cancer Institute, Memorial Healthcare System, Hollywood, Florida, USA. CN - on behalf of the CLICaP LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study DEP - 20181126 PL - Switzerland TA - Oncology JT - Oncology JID - 0135054 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) SB - IM MH - Adenocarcinoma of Lung/diagnosis/*epidemiology/*genetics MH - Aged MH - Anaplastic Lymphoma Kinase/*genetics MH - Biomarkers, Tumor/*genetics MH - Female MH - *Gene Rearrangement MH - Genetic Predisposition to Disease MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Incidence MH - Latin America/epidemiology MH - Male MH - Middle Aged MH - Molecular Epidemiology MH - Prevalence MH - Real-Time Polymerase Chain Reaction MH - Retrospective Studies MH - Reverse Transcriptase Polymerase Chain Reaction OTO - NOTNLM OT - ALK OT - FISH OT - Latin America OT - Non-small-cell lung cancer OT - Rearrangements EDAT- 2018/11/27 06:00 MHDA- 2019/05/06 06:00 CRDT- 2018/11/27 06:00 PHST- 2018/04/17 00:00 [received] PHST- 2018/09/12 00:00 [accepted] PHST- 2018/11/27 06:00 [pubmed] PHST- 2019/05/06 06:00 [medline] PHST- 2018/11/27 06:00 [entrez] AID - 000493733 [pii] AID - 10.1159/000493733 [doi] PST - ppublish SO - Oncology. 2019;96(4):207-216. doi: 10.1159/000493733. Epub 2018 Nov 26.