Table 1. Summarizes the pathologic, molecular and cytological characteristics of 46 surgical resection specimens of pancreatic cystic lesions (PCLs).
Cyst Type- grade | KRAS | GNAS | Other genes | Cytology result | Algorithm diagnosis | Molecular diagnosis* |
---|---|---|---|---|---|---|
1- IPMN - LG | p.G12V | NEG | NEG | NEG | mPCN | mPCN |
2- IPMN - LG | p.G12V | p.R201C | NEG | A/S | mPCN | mPCN |
3- IPMN - LG | p.G12V | p.R201C | NEG | A/S | mPCN | mPCN |
4- IPMN - LG | p.G12V | p.R201H | NEG | ND | mPCN | mPCN |
5- IPMN - LG | p.G12V | NEG | NEG | ND | mPCN | mPCN |
6- IPMN - LG | p.G12R | NEG | NEG | A/S | mPCN | mPCN |
7- IPMN - LG | p.G12R | p.R201H | NEG | A/S | mPCN | mPCN |
8- IPMN - LG | p.G12A | p.R201H | NEG | NEG | mPCN | mPCN |
9- IPMN - LG | p.G12R | NEG | NEG | NEG | mPCN | mPCN |
10- IPMN - LG | NEG | NEG | NEG | ND | mPCN | nmPCL |
11- IPMN - LG | p.G12V | p.R201C | NEG | ND | mPCN | mPCN |
12- IPMN - LG | p.Q61H | p.R201H | NEG | ND | mPCN | mPCN |
13- IPMN - MG | p.G12D | NEG | NEG | NEG | mPCN | mPCN |
14- IPMN - MG | p.G12D | p.R201C | APC | NEG | mPCN | mPCN |
15- IPMN - MG | p.G12V | p.R201C | CDKN2A | POS | mPCN | mPCN |
16- IPMN - MG | p.G12A p.G12T | p.R201C p.R201H | NEG | ND | mPCN | mPCN |
17- IPMN - MG | NEG | p.R201C | NEG | ND | mPCN | mPCN |
18- IPMN - HG | p.G12V | NEG | TP53, PIC3CA | A/S | mPCN | mPCN |
19- IPMN - HG | NEG | NEG | BRAF | NEG | mPCN | mPCN |
20- MCN - LG | p.Q61H | NEG | NEG | NEG | mPCN | mPCN |
21- MCN - LG | NEG | NEG | NEG | ND | mPCN | nmPCL |
22- MCN - LG | p.G12D | NEG | NEG | A/S | mPCN | mPCN |
23- MCN - LG | p.G12D | NEG | NEG | NEG | mPCN | mPCN |
24- MCN - LG | NEG | NEG | NEG | ND | mPCN | nmPCL |
25- MCN - MG | p.G12D | NEG | TP53 | A/S | mPCN | mPCN |
26- MCN - MG | p.G12V | NEG | NEG | NEG | mPCN | mPCN |
27- MCN - MG | NEG | NEG | NEG | NEG | mPCN | nmPCL |
28- MCN - MG | p.G12D | NEG | NEG | ND | mPCN | mPCN |
29- PDA | p.G12R | NEG | TP53 | POS | mPCN | mPCN |
30- PDA | p.G12V | NEG | TP53, SMAD4 | POS | mPCN | mPCN |
31- PDA | p.G12D | NEG | SMAD4 | POS | mPCN | mPCN |
32- PDA | p.G12D | NEG | RB1, SMAD4, PTEN | POS | mPCN | mPCN |
33- PDA | p.G12D | NEG | TP53 | POS | mPCN | mPCN |
34- PDA | NEG | p.R201H | SMAD4, TP53 | POS | mPCN | mPCN |
35- PDA | p.Q61C | p.R201C | TP53, CDKN2A | POS | mPCN | mPCN |
36- PDA | p.G12D | p.R201H | NEG | NEG | mPCN | mPCN |
37- SCA | NEG | NEG | VHL | NEG | mPCN | nmPCL |
38- SCA | NEG | NEG | VHL | NEG | nmPCL | nmPCL |
39- PNET | NEG | NEG | NEG | A/S | mPCN | nmPCL |
40- PNET | NEG | NEG | ATM | POS | mPCN | nmPCL |
41- PNET | NEG | NEG | NEG | A/S | mPCN | nmPCL |
42- Pseudocyst/CP | NEG | NEG | NEG | NEG | nmPCL | nmPCL |
43- Pseudocyst/CP | NEG | NEG | NEG | NEG | nmPCL | nmPCL |
44- Pseudocyst/CP | p.G12D | NEG | NEG | NEG | mPCN | mPCN |
45- Pseudocyst/CP | NEG | NEG | NEG | NEG | nmPCL | nmPCL |
46- Pseudocyst/CP | NEG | NEG | NEG | NEG | nmPCL | nmPCL |
(CP: chronic pancreatitis, IPMN: Intraductal papillary mucinous neoplasm, MCN: Mucinous cystic neoplasm, mPCN: mucinous pancreatic cystic neoplasm, nmPCN: non-mucinous pancreatic cystic neoplasm, PDA: Pancreatic ductal carcinoma, PNET: Pancreatic neuroendocrine tumor, SCA: Serous cystadenoma, A/S: atypical/suspicious, HG: high-grade, LG: low-grade, MG: intermediate grade, ND: non-diagnostic, NEG: Negative, POS: positive)
*Based on the presence or absence of any of the following genes: BRAF, KRAS, GNAS, PIK3CA, CDKN2A, PTEN, SMAD4, and TP53.