散发性甲状腺髓性癌患者下一代测序:突变特征和疾病侵略性
Aditya S Shirali1, Mimi I Hu2, Yi-Ju Chiang1
1Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Journal of the Endocrine Society
|April 25, 2024
概括
包括RET M918T在内的体内RET突变在零星髓性甲状腺癌 (sMTC) 中很常见,但不会影响疾病特异性存活率或整体存活率. 诊断时的年龄和M1阶段是sMTC的关键预后因素.
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:
- 在偶发性髓性甲状腺癌 (sMTC) 中,下一代测序 (NGS) 检测到人体突变.
- 此前,RET M918T突变被认为是sMTC中的负预后指标.
研究的目的:
- 调查临床病理行为与通过sMTC中通过临床动机的NGS识别的体质突变之间的关联.
- 确定特定的体质突变,特别是RET M918T,是否与疾病进展和生存结果相关.
主要方法:
- 对接受NGS治疗的sMTC患者进行回顾性队列研究,用于治疗规划.
- 分析临床病理因素,远程转移性疾病 (DMD) 的时间,疾病特异性存活率 (DSS) 和整体存活率 (OS).
- 基于确定的体质突变 (包括RET M918T,其他RET变异,RAS突变和RET/RAS野生型状态) 的结果比较.
主要成果:
- 在191个sMTC瘤中发现了体性突变,其中RET M918T是最常见的 (53.4%).
- 在RET M918T,其他RET突变或RET野生型状态的患者之间没有观察到性别,TNM阶段,治疗,DMD,DSS或OS的时间的显著差异.
- 多变量分析表明,诊断时的年龄较大和M1阶段与DSS和OS降低有关,但突变状态没有.
结论:
- 包括M918T变异在内的体质RET突变似乎不会对sMTC患者的疾病特异性存活率或整体存活率产生负面影响.
- 临床因素,如年龄和转移阶段在sMTC中比NGS识别的特定体质突变更为重要的预后指标.
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