Co-Occurrence of Hotspot Point Mutation and Novel Deletion Mutation of <i>TERT</i> Promoter in Solid Variant Papillary Thyroid Carcinoma in a Patient with Synchronous Esophageal Cancer

(1) Introduction: Telomerase reverse transcriptase (TERT) promoter mutations are associated with unfavorable clinical outcomes in papillary thyroid carcinomas (PTCs). Two substitution mutations, C228T (c.1-124C>T) and C250T (c.1-146C>T), make up most of the mutations and occur in a mutually ex...

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Main Authors: Jiheun Han, Young Lyun Oh, Jung-Sun Kim
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/1/4
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author Jiheun Han
Young Lyun Oh
Jung-Sun Kim
author_facet Jiheun Han
Young Lyun Oh
Jung-Sun Kim
author_sort Jiheun Han
collection DOAJ
description (1) Introduction: Telomerase reverse transcriptase (TERT) promoter mutations are associated with unfavorable clinical outcomes in papillary thyroid carcinomas (PTCs). Two substitution mutations, C228T (c.1-124C>T) and C250T (c.1-146C>T), make up most of the mutations and occur in a mutually exclusive manner. (2) Case presentation: A 72-year-old man was initially referred to a tertiary hospital for treatment of esophageal cancer. Preoperative imaging revealed a 3.2 cm thyroid nodule pathologically diagnosed as PTC on needle biopsy. The patient underwent thyroid lobectomy with esophagectomy and was finally diagnosed with synchronous solid variant PTC (SVPTC) and esophageal squamous cell carcinoma. Sanger sequencing using DNA from the thyroid tumor showed an indel mutation, c.1-132_1-124delinsT, composed of a deletion (c.1-132_1-125del) as well as a hotspot mutation (c.1-124C>T(C228T)) in the TERT promoter. (3) Conclusions: This is the first report of PTC harboring a novel deletion along with a hotspot mutation in the TERT promoter in a patient with synchronous esophageal squamous cell carcinoma.
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spelling doaj.art-72a3811848594485a000b56ae13a60bd2023-11-21T02:02:36ZengMDPI AGDiagnostics2075-44182020-12-01111410.3390/diagnostics11010004Co-Occurrence of Hotspot Point Mutation and Novel Deletion Mutation of <i>TERT</i> Promoter in Solid Variant Papillary Thyroid Carcinoma in a Patient with Synchronous Esophageal CancerJiheun Han0Young Lyun Oh1Jung-Sun Kim2Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, KoreaDepartment of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, KoreaDepartment of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea(1) Introduction: Telomerase reverse transcriptase (TERT) promoter mutations are associated with unfavorable clinical outcomes in papillary thyroid carcinomas (PTCs). Two substitution mutations, C228T (c.1-124C>T) and C250T (c.1-146C>T), make up most of the mutations and occur in a mutually exclusive manner. (2) Case presentation: A 72-year-old man was initially referred to a tertiary hospital for treatment of esophageal cancer. Preoperative imaging revealed a 3.2 cm thyroid nodule pathologically diagnosed as PTC on needle biopsy. The patient underwent thyroid lobectomy with esophagectomy and was finally diagnosed with synchronous solid variant PTC (SVPTC) and esophageal squamous cell carcinoma. Sanger sequencing using DNA from the thyroid tumor showed an indel mutation, c.1-132_1-124delinsT, composed of a deletion (c.1-132_1-125del) as well as a hotspot mutation (c.1-124C>T(C228T)) in the TERT promoter. (3) Conclusions: This is the first report of PTC harboring a novel deletion along with a hotspot mutation in the TERT promoter in a patient with synchronous esophageal squamous cell carcinoma.https://www.mdpi.com/2075-4418/11/1/4TERTpromoterthyroidpapillary carcinomasolid
spellingShingle Jiheun Han
Young Lyun Oh
Jung-Sun Kim
Co-Occurrence of Hotspot Point Mutation and Novel Deletion Mutation of <i>TERT</i> Promoter in Solid Variant Papillary Thyroid Carcinoma in a Patient with Synchronous Esophageal Cancer
Diagnostics
TERT
promoter
thyroid
papillary carcinoma
solid
title Co-Occurrence of Hotspot Point Mutation and Novel Deletion Mutation of <i>TERT</i> Promoter in Solid Variant Papillary Thyroid Carcinoma in a Patient with Synchronous Esophageal Cancer
title_full Co-Occurrence of Hotspot Point Mutation and Novel Deletion Mutation of <i>TERT</i> Promoter in Solid Variant Papillary Thyroid Carcinoma in a Patient with Synchronous Esophageal Cancer
title_fullStr Co-Occurrence of Hotspot Point Mutation and Novel Deletion Mutation of <i>TERT</i> Promoter in Solid Variant Papillary Thyroid Carcinoma in a Patient with Synchronous Esophageal Cancer
title_full_unstemmed Co-Occurrence of Hotspot Point Mutation and Novel Deletion Mutation of <i>TERT</i> Promoter in Solid Variant Papillary Thyroid Carcinoma in a Patient with Synchronous Esophageal Cancer
title_short Co-Occurrence of Hotspot Point Mutation and Novel Deletion Mutation of <i>TERT</i> Promoter in Solid Variant Papillary Thyroid Carcinoma in a Patient with Synchronous Esophageal Cancer
title_sort co occurrence of hotspot point mutation and novel deletion mutation of i tert i promoter in solid variant papillary thyroid carcinoma in a patient with synchronous esophageal cancer
topic TERT
promoter
thyroid
papillary carcinoma
solid
url https://www.mdpi.com/2075-4418/11/1/4
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