Table 1. Clinical and Pathologic Features by Predisposing DICER1 Mutation Category.
Germline
LOF mutations |
Mosaic mutations | Tumor-
specific mutations |
||
---|---|---|---|---|
Loss of
function |
RNase IIIb
hotspot |
|||
Number of patients | 90 | 5 | 7 | 12 |
Sex distribution | ||||
Male | 44 | 3 | 4 | 10 |
Female | 46 | 2 | 3 | 2 |
Age at first diagnosis, months a | ||||
Median (range) | 35 (0–227) | 25 (12–46) | 12 (0–18) | 33 (24–139) |
Mean (standard deviation) | 36 (31) | 27 (12) | 11 (6) | 42 (31) |
P-value, vs. germline group d | – | 0.97 | 0.0161 | 0.99 |
Disease foci distribution | ||||
Lung - cysts, PPB | 90 | 5 | 7 | 12 |
Kidney - cysts, cystic nephroma | 12 | 0 | 6 | 0 |
Kidney - Wilms tumor | 1 | 0 | 0 | 0 |
Thyroid - nodular hyperplasia | 4 | 0 | 2 | 0 |
Thyroid - cancer | 4 | 0 | 1 | 0 |
Nasal cavity - NCMH | 5 | 0 | 2 | 0 |
Ovary - Sertoli-Leydig cell tumor | 3 | 0 | 2 | 0 |
Uterine cervix - ERMS | 4 | 0 | 0 | 0 |
Urinary bladder - ERMS | 2 | 0 | 0 | 0 |
Pineoblastoma | 1 | 0 | 1 | 0 |
Ciliary body medulloepithelioma | 1 | 0 | 1 | 0 |
Small intestine - juvenile polyps | 0 | 0 | 4 | 0 |
Small intestine - juvenile polyps | 0 | 0 | 4 | 0 |
Pelvic sarcoma | 0 | 0 | 1 | 0 |
PPB type distribution | ||||
Type Ir | 9 | 0 | 5 c | 0 |
Type I | 25 | 2 | 1 | 1 |
Type II | 31 | 1 | 2 c | 6 |
Type III | 25 | 2 | 0 | 5 |
Number of disease foci per patient b | ||||
Median (range) | 2 (1–6) | 2 (1–2) | 13 (9–24) | 1 (1–1) |
Mean (standard deviation) | 1.8 (1.0) | 1.6 (0.5) | 15 (6.4) | 1 (0.0) |
P-value, vs. germline group d | – | 0.99 | 0.0001 | 0.0072 |
Survival, number of patients (months) | ||||
Alive (median age at present) | 80 (100) | 3 (46) | 6 (87) | 10 (85) |
Deceased (median age at death) | 10 (60.5) | 2 (64.5) | 1(132) | 2 (57) |
Abbreviations: PPB pleuropulmonary blastoma; NCMH nasal chondromesenchymal hamartoma; ERMS embryonal rhabdomyosarcoma.
a. Age at first clinical presentation with PPB or other DICER1 syndrome pathology.
b. Total number of discrete disease foci, as defined in Subjects and Methods.
c. Two patients with both type Ir and type II PPB.
d. Medians compared using a Kruskal-Wallis test; post-hoc pair-wise tests adjusted for multiple comparisons.