Table 1.
Patient | Institutions reviewing pathology | IHC positive staining | Molecular testing performed | TMB (Muts/Mb) or MMR testing | PD-L1 testing | Mutations observed | # of cycles of checkpoint inhibitors | Prior systemic therapy |
1 | A, B, D | CD21 CD35 CD23 CD4 Inhibin Vimentin |
Foundation Hem | Low (4) | Combined score 60%–70% |
ARFRP1, ATR, AURKA, CCND2, FGF23, FGF6, GNAS, KDM5A, NFKBIA, SRC, TOP1, ZNFF217 | 8 | VAdrC |
2 | B, C, E | CD21 CD35 CD23 CD4 Inhibin |
Caris Life Science | MMR Sufficient | 2+, combined score 10% | ‘No actionable mutations’ | 6 | None |
Pathology: institutions included: A: Mt Sinai Medical Center New York, B: Northwell Health, C: New York Presbyterian Medical Center, D: Dana Farber Cancer Institute, E: Memorial Sloan Kettering Cancer Center. No translocations were found in molecular testing of patient 1; the testing for patient 2 did not include an RNA sequencing component to investigate for translocation fusion genes.
IHC, immunohistochemistry; MMR, mismatch repair; PD-L1, programmed cell death 1 ligand; TMB, tumour mutation burden; VAdrC, vincristine, doxorubicin, cyclophosphamide.