与瘤致癌突变同时存在的BRAF V600E突变与状腺癌的侵袭性临床病理特征和不良预后有关
Nobuyuki Bandoh1, Takashi Goto1, Yasutaka Kato2
1Department of Otolaryngology-Head and Neck Surgery, Hokuto Hospital, Inadacho Kisen 7-5, Obihiro, Hokkaido, 080-0833, Japan.
Asian journal of surgery
|September 26, 2023
概括
患有BRAF V600E和其他突变的乳头甲状腺癌 (PTC) 患者具有攻击性特征和生存率差. 下一代测序有助于理解PTC临床特征.
科学领域:
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
- 分子生物学分子生物学
背景情况:
- 经典的乳头甲状腺癌 (PTC) 是一种常见的甲状腺恶性瘤.
- 了解PTC的遗传情景对于预测患者的结果至关重要.
研究的目的:
- 研究与癌症相关的基因突变,临床病理特征和经典PTC中的临床结果之间的相关性.
- 为了确定PTC中特定突变的预后意义.
主要方法:
- 基于下一代测序 (NGS) 的癌症面板测试用于检测160个癌症相关基因的突变.
- 分析了经过治疗性手术的130名患有经典PTC的患者.
- 评估了临床病理特征和整体生存期 (OS).
主要成果:
- 在PTC患者中,BRAF V600E突变是普遍存在的 (83.1%).
- 与BRAF V600E同时存在的瘤突变在9.2%的患者中被发现.
- BRAF V600E与其他突变相关的气管侵袭,双边部淋巴结转移,和明显较差的OS.
结论:
- BRAF V600E与其他致癌突变的共存,而不是BRAF V600E单独存在,与经典PTC中的攻击性特征和不良预后有关.
- 基于NGS的突变检测提高了对PTC临床特征的理解,并有助于预后评估.
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