PIK3CA Mutations and Co-Mutations in Operated Non-Small Cell Lung Carcinoma

Understanding mutations and co-mutations in non-small cell lung carcinoma (NSCLC) is critical to developing personalized treatment strategies. Therefore, this study aims to investigate mutations and the accompanying somatic variations in NSCLC. This retrospective study included 98 patients over 18 years of age who were diagnosed with NSCLC, operated on, and referred to the Molecular Pathology Laboratory between January 2019 and June 2024 for next-generation sequencing panel tests and FISH analysis. All patients were found to carry mutations. Among the 98 NSCLC patients analyzed, 16 (16.33%) were female and 82 (83.67%) were male. The average age of the patients was 64.53 ± 9.63 years, with an age range of 38-84 years, and the majority were 50 years or older. Of the cases, 51 presented the adenocarcinoma subtype, while the remaining 47 showed the squamous cell carcinoma subtype. A smoking history was present in 77 (78.57%) patients, while 21 (21.43%) had no smoking history. The most frequently detected pathogenic or likely pathogenic variations were p.E545K (32.65%), p.E542K (11.22%), p.H1047R (11.22%), p.H1047L (5.10%), p.E453Q (4.08%), and p.H1048R (2.04%). The top 10 mutations that most commonly accompanied variations were , , , , , , , , , and mutations, respectively. variations, along with other gene variations, may influence cancer progression and thus may play a crucial role in the determination of targeted treatment strategies.