Melanocytic Lesions: Difference between revisions
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'''Table 1.''' '''Rates of gains and losses significantly higher than 5% for specific chromosome regions in primary melanoma of all subtypes combined''' '''(Literature Review)'''.The is a list of significantly gains and losses selected and evaluated based on a systematic literature search performed on 235 peer-reviewed manuscripts focusing on findings of copy number abnormalities in melanocytic lesions published between 1998 and 2022. Table derived from Barren et al., 2026 [<nowiki>PMID 41898865</nowiki>] with permission from Cancer Genetics. All ''p''-values in the listed CNAs were ≤0.05 and were considered indicative of significance. The abnormalities were reported by at least 3 manuscripts. Possible genes affected by the gain or loss are listed. | |||
{| class="wikitable" | |||
|+ | |||
|'''Event Type''' | |||
|'''Region''' | |||
|'''Rate of Gain or Loss (%)''' | |||
|'''Possible Genes Affected''' | |||
|- | |||
| rowspan="45" |Gain | |||
|1p12 | |||
|12 | |||
|NOTCH2 ***, ADAM30 *** | |||
|- | |||
|1p13 | |||
|9 | |||
|NRAS * | |||
|- | |||
|1q | |||
|26 | |||
| | |||
|- | |||
|1q21 | |||
|16 | |||
|PDE4DIP ***, BCL9 *, S100A9 ***, S100A10 ***, S100A11 ***, S100A12 *** | |||
|- | |||
|1q23 | |||
|28 | |||
|NTRK1 *, KIRREL *** | |||
|- | |||
|1q32 | |||
|41 | |||
|MDM4 * | |||
|- | |||
|2q31 | |||
|14 | |||
|PDE11A *** | |||
|- | |||
|3p13 | |||
|10 | |||
|MITF * | |||
|- | |||
|4p | |||
|10 | |||
| | |||
|- | |||
|4q12 | |||
|17 | |||
|KIT *, KDR *, PDGFRA * | |||
|- | |||
|5p | |||
|14 | |||
| | |||
|- | |||
|5p15 | |||
|32 | |||
|TERT * | |||
|- | |||
|5q | |||
|10 | |||
| | |||
|- | |||
|6p | |||
|30 | |||
| | |||
|- | |||
|6p25 | |||
|58 | |||
|RREB1 * | |||
|- | |||
|6p21 | |||
|25 | |||
|CCND3 * | |||
|- | |||
|6q14 | |||
|34 | |||
|PHIP *** | |||
|- | |||
|7p | |||
|23 | |||
| | |||
|- | |||
|7p11 | |||
|17 | |||
|EGFR * | |||
|- | |||
|7q | |||
|27 | |||
| | |||
|- | |||
|7q31 | |||
|26 | |||
|MET * | |||
|- | |||
|7q34 | |||
|27 | |||
|BRAF * | |||
|- | |||
|8p | |||
|6 | |||
| | |||
|- | |||
|8q | |||
|50 | |||
| | |||
|- | |||
|8q24 | |||
|39 | |||
|MYC * | |||
|- | |||
|11p15 | |||
|15 | |||
|HRAS * | |||
|- | |||
|11q | |||
|8 | |||
| | |||
|- | |||
|11q13 | |||
|27 | |||
|CCND1 * | |||
|- | |||
|11q14 | |||
|11 | |||
|GAB2 * | |||
|- | |||
|12p12 | |||
|8 | |||
|KRAS *, PIK3C2G *** | |||
|- | |||
|12q14 | |||
|21 | |||
|CDK4 * | |||
|- | |||
|12q15 | |||
|11 | |||
|HDM2/MDM2 * | |||
|- | |||
|13q14 | |||
|10 | |||
|RB1 ** | |||
|- | |||
|14q32 | |||
|37 | |||
|AKT1 * | |||
|- | |||
|15q | |||
|14 | |||
| | |||
|- | |||
|17p13 | |||
|18 | |||
|TP53 ** | |||
|- | |||
|17q | |||
|18 | |||
| | |||
|- | |||
|17q11 | |||
|15 | |||
|NF1 ** | |||
|- | |||
|17q24 | |||
|32 | |||
|BPTF ***, PRKCA *, PRKAR1A ** | |||
|- | |||
|19p13 | |||
|37 | |||
|MAP2K2 * | |||
|- | |||
|20p11 | |||
|11 | |||
| | |||
|- | |||
|20q | |||
|23 | |||
| | |||
|- | |||
|20q13 | |||
|22 | |||
|MYBL2 *, ZNF217 *, CYP24 ***, STK6 *, P-REX1 *, SS18L1 ***, GNAS *, SNAI1 *, SNAI2 * | |||
|- | |||
|21q | |||
|14 | |||
| | |||
|- | |||
|22q13 | |||
|21 | |||
|MKL1 ***, EP300 *** | |||
|- | |||
| rowspan="32" |Loss | |||
|1p | |||
|23 | |||
| | |||
|- | |||
|1p36 | |||
|32 | |||
|PRDM16 ***, ARID1A ** | |||
|- | |||
|3p21 a | |||
|15 | |||
|BAP1 ** | |||
|- | |||
|3q | |||
|14 | |||
| | |||
|- | |||
|4q | |||
|10 | |||
| | |||
|- | |||
|5q | |||
|22 | |||
| | |||
|- | |||
|6q | |||
|14 | |||
| | |||
|- | |||
|6q23 | |||
|29 | |||
|MYB *** | |||
|- | |||
|6q25 b | |||
|44 | |||
|ARID1B ** | |||
|- | |||
|8p | |||
|9 | |||
| | |||
|- | |||
|9p | |||
|32 | |||
| | |||
|- | |||
|9p21 | |||
|38 | |||
|CDKN2A ** | |||
|- | |||
|9p24 | |||
|10 | |||
|CD274 ***, JAK2 ***, PTPRD ** | |||
|- | |||
|9q | |||
|29 | |||
| | |||
|- | |||
|9q12 | |||
|13 | |||
| | |||
|- | |||
|10p | |||
|19 | |||
| | |||
|- | |||
|10p15 | |||
|14 | |||
|PRKCQ ***, NET1 ***, KLF6 **, IL15RA ***, CALML5 ***, LARP4B *** | |||
|- | |||
|10q | |||
|34 | |||
| | |||
|- | |||
|10q23 | |||
|25 | |||
|PTEN ** | |||
|- | |||
|11p11 | |||
|23 | |||
|CD82 ** | |||
|- | |||
|11q | |||
|18 | |||
| | |||
|- | |||
|11q22 | |||
|9 | |||
|YAP1 *** | |||
|- | |||
|11q24 | |||
|26 | |||
|ETS1 ***, CHEK1 *** | |||
|- | |||
|13q14 | |||
|8 | |||
|RB1 ** | |||
|- | |||
|16p | |||
|14 | |||
| | |||
|- | |||
|16q | |||
|25 | |||
| | |||
|- | |||
|16q23 | |||
|13 | |||
|BANP **, CBFA2T3 **, FANCA **, CDK10 *** | |||
|- | |||
|17p | |||
|21 | |||
| | |||
|- | |||
|17p13 | |||
|12 | |||
|TP53 ** | |||
|- | |||
|18q | |||
|9 | |||
| | |||
|- | |||
|20p11 | |||
|18 | |||
| | |||
|- | |||
|20q11 | |||
|20 | |||
|E2F1 *** | |||
|} | |||
'''Table 2. Rates in percentage of CNAs commonly tested on FISH panels across different melanoma subtypes.''' Values in red represent rates calculated from <25 reported cases. The number of reported cases appears in parentheses (). The symbol “-” designates data not available. | |||
{| class="wikitable" | |||
|+ | |||
|'''Melanoma Subtype''' | |||
|'''Rate of Gain of 6p25''' | |||
|'''Rate of Loss of 6q23''' | |||
|'''Rate of Gain of 8q24''' | |||
|'''Rate of Loss of 9p21''' | |||
|'''Rate of Gain of 11q13''' | |||
|- | |||
|General cutaneous | |||
|58 (644) | |||
|38 (515) | |||
|33 (567) | |||
|52 (880) | |||
|25 (1871) | |||
|- | |||
|Acral | |||
|72 (149) | |||
|42 (171) | |||
|47 (79) | |||
|28 (222) | |||
|39 (515) | |||
|- | |||
|Blue nevus like | |||
|83 (23) | |||
|61 (23) | |||
| - | |||
| - | |||
|50 (18) | |||
|- | |||
|Desmoplastic | |||
|44 (16) | |||
|33 (3) | |||
| - | |||
| - | |||
|31 (16) | |||
|- | |||
|Mucosal | |||
|97 (33) | |||
|80 (20) | |||
|75 (24) | |||
|39 (233) | |||
|17 (260) | |||
|- | |||
|Nevoid | |||
|66 (41) | |||
|15 (41) | |||
|31 (13) | |||
|69 (13) | |||
|24 (41) | |||
|- | |||
|Spitzoid/Spitz | |||
|54 (99) | |||
|33 (141) | |||
| - | |||
|39 (134) | |||
|33 (146) | |||
|- | |||
|Uveal | |||
| - | |||
|33 (40) | |||
|58 (249) | |||
| - | |||
|0 (83) | |||
|} | |||
'''Table 3. Rates of abnormalities detected by FISH panels for each melanoma subtype and 95% confidence intervals for the given rates.''' The number of cases on which the rates are based is given. | |||
{| class="wikitable" | |||
|+ | |||
|Melanoma Subtype | |||
|Rate of FISH Abnormality Detected (%) | |||
|Lower 95% Confidence Limit | |||
|Upper 95% Confidence Limit | |||
|Number of Cases | |||
|- | |||
|General cutaneous | |||
|82 | |||
|80 | |||
|84 | |||
|1682 | |||
|- | |||
|Acral | |||
|88 | |||
|81 | |||
|92 | |||
|153 | |||
|- | |||
|Blue nevus like | |||
|94 | |||
|68 | |||
|100 | |||
|16 | |||
|- | |||
|Mucosal | |||
|100 | |||
|86 | |||
|100 | |||
|30 | |||
|- | |||
|Nevoid | |||
|93 | |||
|85 | |||
|98 | |||
|75 | |||
|- | |||
|Spitzoid/Spitz | |||
|70 | |||
|62 | |||
|77 | |||
|169 | |||
|} | |||
'''Table 4. The percentage of melanomas with greater than 3 CNAs reported by CMA for each melanoma subtype and the 95% confidence lower bound for the proportion in the given number of reported cases.''' | |||
{| class="wikitable" | |||
|+ | |||
!Melanoma Subtype | |||
!Percentage of Cases with >3 CNAs by CMA (%) | |||
!Lower 95% Confidence Limit | |||
!Number of Cases | |||
|- | |||
|Overall | |||
|94 | |||
| | |||
|769 | |||
|- | |||
|General cutaneous | |||
|94 | |||
|92 | |||
|579 | |||
|- | |||
|Acral | |||
|100 | |||
|96 | |||
|83 | |||
|- | |||
|Blue nevus like | |||
|80 | |||
|64 | |||
|30 | |||
|- | |||
|Desmoplastic | |||
|86 | |||
|61 | |||
|14 | |||
|- | |||
|Mucosal | |||
|95 | |||
|76 | |||
|19 | |||
|- | |||
|Nevoid | |||
|85 | |||
|58 | |||
|13 | |||
|- | |||
|Spitzoid/Spitz | |||
|67 | |||
|16 | |||
|3 | |||
|- | |||
|Uveal | |||
|100 | |||
|88 | |||
|28 | |||
|} | |||