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genetic and molecular types of melanoma?

Forums General Melanoma Community genetic and molecular types of melanoma?

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      hbecker
      Participant

        I did not mean to post this as Anonymous.

        hbecker
        Participant

          I did not mean to post this as Anonymous.

          hbecker
          Participant

            I did not mean to post this as Anonymous.

              jbronicki
              Participant

                Hi Hazel,

                My husband had the 50-Gene Somatic Mutation Analysis Panel done on his tumor.  If you remember, he has a similar case where they can't rule out metastatic melanoma since there is no intraepidermal component (some have said primary dermal melanoma but our oncologist at MD Anderson won't say that). He had 19 mm melanoma removed from back but scans to date have shown NED and he is not doing any treatments.    He was found to have NRAS mutation in his.  Here is an image from the genetic mutation test from MD Anderson.  Looks like BRAF, KIT, and NRAS are what they look for in Melanoma (I beleive NRAS is found less frequently than BRAF):

                 

                50-Gene Somatic Mutation Analysis Panel Report**:

                Clinical test requisition for mutation studies on the following genes was received: BRAF, KIT, NRAS

                A next generation sequencing (NGS)-based analysis for the detection of somatic mutations in the coding sequence of a total of 50 genes
                was performed on the DNA extracted from the sample in our CLIA-certified molecular diagnostics laboratory. Interpretative findings are
                reported in the mutation screening summary table(s) below followed by specific details of detected variants.

                Interpretation Key:

                Circled/Bold: Mutation (or variant) detected
                Underlined: Mutation testing requested (ordered gene)
                Asterisk: Additional confirmation studies in progress, addendum report will be issued

                MUTATION SCREENING SUMMARY:

                ABL1 CSF1R FGFR2 IDH1 MLH1 PTPN11 TP53
                AKT1 CTNNB1 FGFR3 IDH2 MPL RB1 VHL
                ALK EGFR FLT3 JAK2 NOTCH1 RET
                APC ERBB2 GNA11 JAK3 NPM1 SMAD4
                ATM ERBB4 GNAQ KDR NRAS SMARCB1
                BRAF EZH2 GNAS KIT PDGFRA SMO
                CDH1 FBXW7 HNF1A KRAS PIK3CA SRC
                CDKN2A FGFR1 HRAS MET PTEN STK11

                I. Mutations in ordered genes
                Gene Standardized Nomenclature (HGVS) Location DNA change Protein change dbSNP ID COSMIC
                ID
                NRAS NM_002524.4(NRAS):c.181C>A p.Q61K Exon 3 SNV Missense rs121913254COSM580

                 

                jbronicki
                Participant

                  Hi Hazel,

                  My husband had the 50-Gene Somatic Mutation Analysis Panel done on his tumor.  If you remember, he has a similar case where they can't rule out metastatic melanoma since there is no intraepidermal component (some have said primary dermal melanoma but our oncologist at MD Anderson won't say that). He had 19 mm melanoma removed from back but scans to date have shown NED and he is not doing any treatments.    He was found to have NRAS mutation in his.  Here is an image from the genetic mutation test from MD Anderson.  Looks like BRAF, KIT, and NRAS are what they look for in Melanoma (I beleive NRAS is found less frequently than BRAF):

                   

                  50-Gene Somatic Mutation Analysis Panel Report**:

                  Clinical test requisition for mutation studies on the following genes was received: BRAF, KIT, NRAS

                  A next generation sequencing (NGS)-based analysis for the detection of somatic mutations in the coding sequence of a total of 50 genes
                  was performed on the DNA extracted from the sample in our CLIA-certified molecular diagnostics laboratory. Interpretative findings are
                  reported in the mutation screening summary table(s) below followed by specific details of detected variants.

                  Interpretation Key:

                  Circled/Bold: Mutation (or variant) detected
                  Underlined: Mutation testing requested (ordered gene)
                  Asterisk: Additional confirmation studies in progress, addendum report will be issued

                  MUTATION SCREENING SUMMARY:

                  ABL1 CSF1R FGFR2 IDH1 MLH1 PTPN11 TP53
                  AKT1 CTNNB1 FGFR3 IDH2 MPL RB1 VHL
                  ALK EGFR FLT3 JAK2 NOTCH1 RET
                  APC ERBB2 GNA11 JAK3 NPM1 SMAD4
                  ATM ERBB4 GNAQ KDR NRAS SMARCB1
                  BRAF EZH2 GNAS KIT PDGFRA SMO
                  CDH1 FBXW7 HNF1A KRAS PIK3CA SRC
                  CDKN2A FGFR1 HRAS MET PTEN STK11

                  I. Mutations in ordered genes
                  Gene Standardized Nomenclature (HGVS) Location DNA change Protein change dbSNP ID COSMIC
                  ID
                  NRAS NM_002524.4(NRAS):c.181C>A p.Q61K Exon 3 SNV Missense rs121913254COSM580

                   

                  jbronicki
                  Participant

                    Hi Hazel,

                    My husband had the 50-Gene Somatic Mutation Analysis Panel done on his tumor.  If you remember, he has a similar case where they can't rule out metastatic melanoma since there is no intraepidermal component (some have said primary dermal melanoma but our oncologist at MD Anderson won't say that). He had 19 mm melanoma removed from back but scans to date have shown NED and he is not doing any treatments.    He was found to have NRAS mutation in his.  Here is an image from the genetic mutation test from MD Anderson.  Looks like BRAF, KIT, and NRAS are what they look for in Melanoma (I beleive NRAS is found less frequently than BRAF):

                     

                    50-Gene Somatic Mutation Analysis Panel Report**:

                    Clinical test requisition for mutation studies on the following genes was received: BRAF, KIT, NRAS

                    A next generation sequencing (NGS)-based analysis for the detection of somatic mutations in the coding sequence of a total of 50 genes
                    was performed on the DNA extracted from the sample in our CLIA-certified molecular diagnostics laboratory. Interpretative findings are
                    reported in the mutation screening summary table(s) below followed by specific details of detected variants.

                    Interpretation Key:

                    Circled/Bold: Mutation (or variant) detected
                    Underlined: Mutation testing requested (ordered gene)
                    Asterisk: Additional confirmation studies in progress, addendum report will be issued

                    MUTATION SCREENING SUMMARY:

                    ABL1 CSF1R FGFR2 IDH1 MLH1 PTPN11 TP53
                    AKT1 CTNNB1 FGFR3 IDH2 MPL RB1 VHL
                    ALK EGFR FLT3 JAK2 NOTCH1 RET
                    APC ERBB2 GNA11 JAK3 NPM1 SMAD4
                    ATM ERBB4 GNAQ KDR NRAS SMARCB1
                    BRAF EZH2 GNAS KIT PDGFRA SMO
                    CDH1 FBXW7 HNF1A KRAS PIK3CA SRC
                    CDKN2A FGFR1 HRAS MET PTEN STK11

                    I. Mutations in ordered genes
                    Gene Standardized Nomenclature (HGVS) Location DNA change Protein change dbSNP ID COSMIC
                    ID
                    NRAS NM_002524.4(NRAS):c.181C>A p.Q61K Exon 3 SNV Missense rs121913254COSM580

                     

                    mary1233
                    Participant

                      I have been trying for a long time to get an answer to this. Wild type mutations make up about 28% of the mutations. Among that 28%, are the wild types a singular muations, or are they a combination of "none of the above"?

                      Can anyone clarify this.

                      Thanks.

                      kylez
                      Participant
                        I believe wild tyoe means the gene most commonly in the population, i.e. the unmutayed version. That would mean the unmutated v600 braf gene is wild type for that gene. 
                         
                        whereas for NRAS G12a my tumors' versions of that gene have been mutated, so they are not wild type for nras g12.
                         
                        that could be right or wrong!
                         
                        kylez
                        Participant
                          I believe wild tyoe means the gene most commonly in the population, i.e. the unmutayed version. That would mean the unmutated v600 braf gene is wild type for that gene. 
                           
                          whereas for NRAS G12a my tumors' versions of that gene have been mutated, so they are not wild type for nras g12.
                           
                          that could be right or wrong!
                           
                          kylez
                          Participant
                            I believe wild tyoe means the gene most commonly in the population, i.e. the unmutayed version. That would mean the unmutated v600 braf gene is wild type for that gene. 
                             
                            whereas for NRAS G12a my tumors' versions of that gene have been mutated, so they are not wild type for nras g12.
                             
                            that could be right or wrong!
                             
                            mary1233
                            Participant

                              I have been trying for a long time to get an answer to this. Wild type mutations make up about 28% of the mutations. Among that 28%, are the wild types a singular muations, or are they a combination of "none of the above"?

                              Can anyone clarify this.

                              Thanks.

                              mary1233
                              Participant

                                I have been trying for a long time to get an answer to this. Wild type mutations make up about 28% of the mutations. Among that 28%, are the wild types a singular muations, or are they a combination of "none of the above"?

                                Can anyone clarify this.

                                Thanks.

                                Annalive
                                Participant

                                  Hi,  Thank you for posting.  I have st 3 Mel BRAF600+.  How does the information you've received on this panel inform the treatment options which you may be given?  How else might the information be useful?  Thank you, Ann

                                  Annalive
                                  Participant

                                    Hi,  Thank you for posting.  I have st 3 Mel BRAF600+.  How does the information you've received on this panel inform the treatment options which you may be given?  How else might the information be useful?  Thank you, Ann

                                    Annalive
                                    Participant

                                      Hi,  Thank you for posting.  I have st 3 Mel BRAF600+.  How does the information you've received on this panel inform the treatment options which you may be given?  How else might the information be useful?  Thank you, Ann

                                      Annalive
                                      Participant

                                        Hi,  Thank you for posting.  I have st 3 Mel BRAF600+.  How does the information you've received on this panel inform the treatment options which you may be given?  How else might the information be useful?  Thank you, Ann

                                        Annalive
                                        Participant

                                          Hi,  Thank you for posting.  I have st 3 Mel BRAF600+.  How does the information you've received on this panel inform the treatment options which you may be given?  How else might the information be useful?  Thank you, Ann

                                          Annalive
                                          Participant

                                            Hi,  Thank you for posting.  I have st 3 Mel BRAF600+.  How does the information you've received on this panel inform the treatment options which you may be given?  How else might the information be useful?  Thank you, Ann

                                            Annalive
                                            Participant

                                              Hi,  Thank you for posting.  I have st 3 Mel BRAF600+.  How does the information you've received on this panel inform the treatment options which you may be given?  How else might the information be useful?  Thank you, Ann

                                              Annalive
                                              Participant

                                                Hi,  Thank you for posting.  I have st 3 Mel BRAF600+.  How does the information you've received on this panel inform the treatment options which you may be given?  How else might the information be useful?  Thank you, Ann

                                                Annalive
                                                Participant

                                                  Hi,  Thank you for posting.  I have st 3 Mel BRAF600+.  How does the information you've received on this panel inform the treatment options which you may be given?  How else might the information be useful?  Thank you, Ann

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