101. NTRK fusion oncogenes in pediatric papillary thyroid carcinoma in northeast United States
- Author
-
Manju L, Prasad, Monika, Vyas, Matthew J, Horne, Renu K, Virk, Raffaella, Morotti, Zongzhi, Liu, Giovanni, Tallini, Marina N, Nikiforova, Emily R, Christison-Lagay, Robert, Udelsman, Catherine A, Dinauer, Yuri E, Nikiforov, Prasad, Manju L, Vyas, Monika, Horne, Matthew J., Virk, Renu K., Morotti, Raffaella, Liu, Zongzhi, Tallini, Giovanni, Nikiforova, Marina N., Christison-Lagay, Emily R., Udelsman, Robert, Dinauer, Catherine A., and Nikiforov, Yuri E.
- Subjects
Male ,Proto-Oncogene Proteins B-raf ,Cancer Research ,Adolescent ,Oncogene Proteins, Fusion ,endocrine system diseases ,DNA Mutational Analysis ,receptor type 3/ets variant 6 (NTRK3/ETV6) fusion oncogene ,Proto-Oncogene Mas ,New England ,Proto-Oncogene Proteins ,Humans ,Receptor, trkC ,Thyroid Neoplasms ,Receptor, trkA ,Child ,Proto-Oncogene Proteins c-ets ,Reverse Transcriptase Polymerase Chain Reaction ,Carcinoma ,Proto-Oncogene Proteins c-ret ,High-Throughput Nucleotide Sequencing ,Carcinoma, Papillary ,pediatric cancer ,Nuclear Pore Complex Proteins ,Repressor Proteins ,Oncology ,Thyroid Cancer, Papillary ,neurotrophic tyrosine kinase ,Mutation ,papillary thyroid carcinoma ,Female ,thyroid neoplasm - Abstract
BACKGROUND An increase in thyroid cancers, predominantly papillary thyroid carcinoma (PTC), has been recently reported in children. METHODS The histopathology of 28 consecutive PTCs from the northeast United States was reviewed. None of the patients (ages 6-18 years; 20 females, 8 males) had significant exposure to radiation. Nucleic acid from tumors was tested for genetic abnormalities (n = 27). Negative results were reevaluated by targeted next-generation sequencing. RESULTS Seven of 27 PTCs (26%) had neurotrophic tyrosine kinase receptor (NTRK) fusion oncogenes (NTRK type 3/ets variant 6 [NTRK3/ETV6], n =5; NTRK3/unknown, n = 1; and NTRK type 1/translocated promoter region, nuclear basket protein [NTRK1/TPR], n = 1), including 5 tumors that measured >2 cm and 3 that diffusely involved the entire thyroid or lobe. All 7 tumors had lymphatic invasion, and 5 had vascular invasion. Six of 27 PTCs (22%) had ret proto-oncogene (RET) fusions (RET/PTC1, n = 5; RET/PTC3, n = 1); 2 tumors measured >2 cm and diffusely involved the thyroid, and 5 had lymphatic invasion, with vascular invasion in 2. Thirteen PTCs had the B-Raf proto-oncogene, serine/threonine kinase (BRAF) valine-to-glutamic acid mutation at position 600 (BRAFV600E) (13 of 27 tumors; 48%), 11 measured
- Published
- 2016