A PIK3CA mutation detected in plasma from a patient with synchronous primary breast and lung cancers

Danijela Jelovac, Julia A. Beaver, Sasidharan Balukrishna, Hong Yuen Wong, Patricia Valda Toro, Ashley Cimino-Mathews, Pedram Argani, Vered Stearns, Lisa Jacobs, Dustin Vandenberg, Jill Kessler, Stacie Jeter, Ben H. Park, Antonio C. Wolff

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Digital polymerase chain reaction is a new technology that enables detection and quantification of cancer DNA molecules from peripheral blood. Using this technique, we identified mutant PIK3CA DNA in circulating ptDNA (plasma tumor DNA) from a patient with concurrent early stage breast cancer and non-small cell lung cancer. The patient underwent successful resection of both her breast and lung cancers, and using standard Sanger sequencing the breast cancer was shown to harbor the identical PIK3CA mutation identified in peripheral blood. This case report highlights potential applications and concerns that can arise with the use of ptDNA in clinical oncology practice.

Original languageEnglish (US)
Pages (from-to)880-883
Number of pages4
JournalHuman pathology
Volume45
Issue number4
DOIs
StatePublished - Apr 2014

Keywords

  • Breast cancer
  • Digital PCR
  • Lung cancer
  • PIK3CA
  • Plasma tumor DNA

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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