Abstract

Targeted Next-Generation Sequencing Reveals Clinically Actionable BRAF and ESR1 Mutations in Low-Grade Serous Ovarian Carcinoma.

Highlights

  • Low-grade serous ovarian cancer (LGSOC) is a rare (< 5%) subset of epithelial ovarian cancer with unique biologic, clinical, and genetic features.[1]. Compared with those with high-grade SOC (HGSOC), the most common histologic subtype of ovarian cancer, patients with LGSOC are diagnosed at a younger age and have a better prognosis.[2,3]

  • We describe two patients with LGSOC whose clinical management was informed by targetedpanel next-generation sequencing (NGS) performed in our institution

  • We present clinically relevant alterations identified by OncoPanel in two patients with recurrent LGSOC: a patient with a BRAF V600E mutation who derived clinical benefit from BRAF inhibitor vemurafenib, and a patient with progressive disease after durable response to hormonal therapy whose recurrent tumor harbored an ESR1 mutation associated with resistance to antiestrogen therapy

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Summary

Colleen Feltmate

Author affiliations and support information (if applicable) appear at the end of this article. Konstantinopoulos, MD, PhD, Medical Gynecologic Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston MA 02215; e-mail: panagiotis_ konstantinopoulos@ dfci.harvard.edu

INTRODUCTION
CASE REPORTS
Carboplatin plus paclitaxel Anastrozole plus leuprolide
DISCUSSION
Findings
Description of Test
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