Table 2.
Medical record No | Genetic changes associated with HB paroxysm | Abundance / Amplification multiple | Unknown genetic change | Abundance / Amplification multiple | MSI | TMB | PDL1 | Pathological type | β-catenin | Recurrence or metastasis | Survival time | Prognosis |
1 | NFE2L2 c.230A>G p.D77G | 48.30% | KMT2D c.5467G>T p.G1823X | 11.70% | MSS | 3.9 | <1% | Epithelium and lobus intermedius mixed type | Positive | Metastasis | 9 | PR |
NUP210L c.4475G>A p.G1492E | 20.00% | |||||||||||
ARID1A c. 2714C>G p.A905G | 18.50% | |||||||||||
TRIM23 c.868G>T p.A290S | 16.80% | |||||||||||
PTPRB c.5432A>G p.K1811R | 11.90% | |||||||||||
AURKA amplification | 1.51 | |||||||||||
2 | MSS | 0 | <1% | Epithelium and lobus intermedius mixed type | Positive | Recurrence | 17 | CR | ||||
3 | ARID1A | 37.20% | MSS | 1.69 | 1.00% | Fetal and embryonic mixed type | Positive | Recurrence | 29 | CR | ||
c.4764-4770delT p.A1589fs | ||||||||||||
4 | NFE2L2 c.92G>C p.G31A | 22.00% | EP300 c.3244_3245delinsTT p.Q1082L | 48.70% | MSS | 1.69 | <1% | Fetal type | Positive | Recurrence | 21 | CR |
PARP1 c.2680G>T p.G894N | 29.00% | |||||||||||
5 | CTNNB1 c.101G>T p.G34V | 11.60% | MSS | 3.18 | Epithelium and lobus intermedius mixed type | Positive | Recurrence | 23 | PR | |||
6 | MSS | 0 | Fetal and embryonic mixed type | Positive | No | 12 | CR | |||||
7 | MYCN amplification | 1.5 | TCF7L2 c.1258C>T p.R420W | 26.00% | MSS | 2.25 | 1-2% | Epithelium and lobus intermedius mixed type | Focal positive | Recurrence | 22 | Dead |
MED12 c.5382G>T p.Q1794H | 24.70% | |||||||||||
8 | USP9X c.1916C>T p.P639L | 37.90% | MSS | 3.93 | 2.00% | Embryo and giant trabecular mixed type | Positive | Recurrence | 15 | PR | ||
NOTCH3 c.3991C>G p.P1331A | 10.20% | |||||||||||
9 | CTNNB1 c.1003A>C p.K335Q | 45.50% | MSS | 1.69 | Fetal and embryonic mixed type | Positive | Recurrence | 30 | Dead | |||
10 | BCL6 c.959A>G p.N320S | 12.70% | MSS | 2.25 | Fetal type | Positive | Metastasis | 21 | CR | |||
HIST1H3F c.148C>G p.R50G | 11.90% | |||||||||||
11 | CTNNB1 c.94G>A p.D32N | 23.00% | INPP4A c.959A>G p.N320S | 14.80% | MSS | Fetal and embryonic mixed type | Positive | Recurrence or metastasis | 17 | PD | ||
TP53 c.743G>A p.R248Q | 47.30% | RFWD2 c.173C>G p.S58W | 13.90% | |||||||||
12 | CTNNB1 c.121A>G p.T41A | 27.50% | MSS | Fetal and embryonic mixed type | Positive | No | 20 | CR | ||||
13 | AXIN1 | 13.11% | EPHA7 c.1909C>T p.R637C | 7.16% | MSS | 22 | giant beam type | Positive | Recurrence after PD | 50 | Dead | |
c.516_537del CATGAAGCAGCTGATCGATCCT p.I172Mfs*63 | NRAS c.182A>G p.Q61R | 6.26% | ||||||||||
14 | APC c.5465T>A p.V1822D | 11.20% | PIK3C2B c.533C>T p.P178L | 36.50% | MSS | 5 | 0 | Fetal type | Positive | Recurrence or metastasis | 40 | PR |
IGF2 | 31.61% | |||||||||||
c.517_538dup ACACCTGGAAGCAGTCCACC p.Q180Rfs*78 | ||||||||||||
NORCH1 c.1820G>T p.C607F | ||||||||||||
DICER1 | 28.96% | |||||||||||
c.4082A>G p.K1361R | ||||||||||||
c.4064A>G p.N1355S | 25.40% | |||||||||||
25.06% | ||||||||||||
15 | CTNNB1 c.53_241+117del306 | 47.50% | MSS | 0 | Epithelium and lobus intermedius mixed type | negative | PD | 25 | Dead | |||
16 | CTNNB1 | 21.20% | NUP93 c.180-2A>T | 41.40% | MSS | 1.34 | 1-2% | Epithelium and lobus intermedius mixed type | Positive | Recurrence or metastasis | 24 | CR |
c.66_95del p.His24_Ser33del | PREX2 c.2741C>G p.A914G | 38.30% | ||||||||||
PAK7 c.1573T>C p.F525L | 28.60% | |||||||||||
17 | ATRX c.2701C>G p.I901V | 8.14% | MSS | 9 | Epithelium and lobus intermedius mixed type | Positive | Recurrence | 9 | CR | |||
PTCH1 c.2479A>G p.S827G | 5.60% | |||||||||||
MPL c.173C>T p.A58VG | 6.40% | |||||||||||
18 | CTNNB1 c.94G>A p.D32N | 14.14% | MSS | 4.8 | Fetal and embryonic mixed type | Positive | Recurrence | 15 | CR | |||
19 | MSS | 1.11 | Fetal and embryonic mixed type | Positive | Recurrence | 23 | CR |
Only genetic changes with mutation abundance ≥5% are listed; MSI, microsatellite instability; MSS, microsatellite stability; TMB, tumor mutation burden; CR, complete remission; PR, partial response; PD, disease progression.