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Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service de psychopathologie du développement, Bron, France
Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Centre de biologie et pathologie Est, Service d’hormonologie, d’endocrinologie moléculaire et des maladies rares, Bron, France
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Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Centre de biologie et pathologie Est, Service d’hormonologie, d’endocrinologie moléculaire et des maladies rares, Bron, France
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Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service Endocrinologie Moléculaire et Maladies Rares, Bron, France
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Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service de chirurgie Uro-viscérale et de Transplantation de l’Enfant, Bron, France
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Hospices Civils de Lyon, Groupement Hospitalier Est, Service d’endocrinologie, Bron, France
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Centre National de Référence Maladies Rares du développement génital du fœtus à l’adulte DEV-GEN, Hospices Civils de Lyon, Bron, France
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Université Claude Bernard, Lyon, France
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Centre National de Référence Maladies Rares du développement génital du fœtus à l’adulte DEV-GEN, Hospices Civils de Lyon, Bron, France
Université Claude Bernard, Lyon, France
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Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service de chirurgie Uro-viscérale et de Transplantation de l’Enfant, Bron, France
Université Claude Bernard, Lyon, France
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Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service de chirurgie Uro-viscérale et de Transplantation de l’Enfant, Bron, France
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Centre National de Référence Maladies Rares du développement génital du fœtus à l’adulte DEV-GEN, Hospices Civils de Lyon, Bron, France
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patients’ sex of rearing ( 12 , 13 ), while a diagnosis made during infancy may lead to early change of sex of rearing ( 14 ). Diagnostic practices have significantly progressed over the past two decades. Laboratory diagnosis used to be guided by the
Department of Pediatrics, St. Anna Kinderspital, Medical University of Vienna, Vienna, Austria
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lies on chromosome 6p in close proximity to its pseudogene ( CYP21A2P ), which is 96–98% homologous. Up to 75% of CAH mutations arise from the pseudogene by meiotic non-disjunction. Deletions (del) and CYP21A2/CYP21A2P chimeric genes account for the
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Next-generation sequencing (NGS) is of great benefit to clinical practice in terms of identifying genetic alterations. This study aims to clarify the gene background and its influence on thyroid tumor in Chinese population. NGS data and corresponding clinicopathological features (sex, age, tumor size, extrathyroidal invasion, metastasis, multifocality and TNM stage) were collected and analyzed retrospectively from 2844 individual thyroid tumor samples during July 2021 to August 2022. 2337 (82%) of the cohort possess genetic alterations including BRAF (71%), RAS (4%), RET/PTC (4%), TERT (3%), RET (2.2%) and TP53 (1.4%). Diagnostic sensitivity before surgery can be significantly increased from 0.76 to 0.91 when cytology is supplemented by NGS. Our results show that BRAF positive papillary thyroid cancer (PTC) patients tend to have elder age, smaller tumor size, less vascular invasion, more frequent tumor multifocality and significantly higher cervical lymph node metastatic rate. Mutation at RET gene codon 918 and 634 is strongly correlated with medullary thyroid cancer (MTC), However it did not display more invasive clinical characteristics. TERT positive patients are more likely to have elder age, larger tumor size, more tumor invasiveness, and more advanced TNM stage, indicating poor prognosis. Patients with TERT, RET/PTC1 and CHEK2 mutation are more susceptible to lateral lymph node metastasis. In conclusion. NGS can be a useful tool which provides practical gene evidence in the process of diagnosis and treatment in thyroid tumors.
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subjected to STAR workflow and extracted in TPM format to obtain gene expression and clinical data. Data processing and visualization were performed using R software (R version 4.2.1), wherein clinically uninformative and duplicate data were removed. Based
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patients were either diagnosed with VHL disease or showed strong evidence related to this disease. Based on one of the recent review articles ( 2 ), VHL is the only gene in which mutations are known to cause VHL disease and these patients have the
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. sequenced 1077 genes in 192 patients (31 with CPHD) and found four pathogenic variants in PTPN11 and IGF1R genes ( 16 ). Hauer et al. sequenced 200 patients with short stature who underwent extensive prior endocrinological and diagnostic workup to
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for diagnostic use has failed to keep up with the increasing demand. These 11 genes constitute 144 exons (∼25 000 bases); consequently, a comprehensive PCC and PGL genetic screening test can be time consuming and is not regarded as cost effective (12
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://doi.org/10.1530/EJE-17-0568 ) 39 Gach A Pinkier I Sałacińska K Szarras-Czapnik M Salachna D Kucińska A Rybak-Krzyszkowska M & Sakowicz A . Identification of gene variants in a cohort of hypogonadotropic hypogonadism: diagnostic utility of
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improved the diagnostic yield ( 6 , 9 ). While whole-exome and/or genome sequencing (WES/WGS) are still reserved for the research environment, targeted gene panels are becoming widely used in the diagnostic algorithms of 46,XY DSD on a routine basis ( 10
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negative feedback from the hypothalamic–pituitary–adrenal (HPA) axis ( 2 ). Although GCs have non-genomic actions, they may still rapidly affect gene expression via different mechanisms such as mRNA destabilization and coactivator competition ( 3 , 4