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<span style="color:#0070C0">(''General Instructions – The main focus of these pages is the clinically significant genetic alterations in each disease type. Use [https://www.genenames.org/ <u>HUGO-approved gene names and symbols</u>] (italicized when appropriate), [https://varnomen.hgvs.org/ HGVS-based nomenclature for variants], as well as generic names of drugs and testing platforms or assays if applicable. Please complete tables whenever possible and do not delete them (add N/A if not applicable in the table and delete the examples). Please do not delete or alter the section headings. The use of bullet points alongside short blocks of text rather than only large paragraphs is encouraged. Additional instructions below in italicized blue text should not be included in the final page content. Please also see'' </span><u>''[[Author_Instructions]]''</u><span style="color:#0070C0"> ''and [[Frequently Asked Questions (FAQs)|<u>FAQs</u>]] as well as contact your [[Leadership|<u>Associate Editor</u>]] or [mailto:CCGA@cancergenomics.org <u>Technical Support</u>])''</span>
 
<span style="color:#0070C0">(''General Instructions – The main focus of these pages is the clinically significant genetic alterations in each disease type. Use [https://www.genenames.org/ <u>HUGO-approved gene names and symbols</u>] (italicized when appropriate), [https://varnomen.hgvs.org/ HGVS-based nomenclature for variants], as well as generic names of drugs and testing platforms or assays if applicable. Please complete tables whenever possible and do not delete them (add N/A if not applicable in the table and delete the examples). Please do not delete or alter the section headings. The use of bullet points alongside short blocks of text rather than only large paragraphs is encouraged. Additional instructions below in italicized blue text should not be included in the final page content. Please also see'' </span><u>''[[Author_Instructions]]''</u><span style="color:#0070C0"> ''and [[Frequently Asked Questions (FAQs)|<u>FAQs</u>]] as well as contact your [[Leadership|<u>Associate Editor</u>]] or [mailto:CCGA@cancergenomics.org <u>Technical Support</u>])''</span>
 
==Primary Author(s)*==
 
==Primary Author(s)*==
Put your text here<span style="color:#0070C0"> (''Name and affiliation; example:'' Jane Smith, PhD, Institute of Genomics) </span>
+
Put your text here<span style="color:#0070C0"> (''Name and affiliation; <span class="blue-text">EXAMPLE:</span>'' Jane Smith, PhD, Institute of Genomics) </span>
 
==WHO Classification of Disease==
 
==WHO Classification of Disease==
 
<span style="color:#0070C0">(Will be autogenerated; Book will include name of specific book and have a link to the online WHO site)</span>
 
<span style="color:#0070C0">(Will be autogenerated; Book will include name of specific book and have a link to the online WHO site)</span>
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{| class="wikitable"
 
{| class="wikitable"
 
|'''Signs and Symptoms'''
 
|'''Signs and Symptoms'''
|EXAMPLE: Asymptomatic (incidental finding on complete blood counts)
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|<span class="blue-text">EXAMPLE:</span> Asymptomatic (incidental finding on complete blood counts)
EXAMPLE: B-symptoms (weight loss, fever, night sweats)
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<span class="blue-text">EXAMPLE:</span> B-symptoms (weight loss, fever, night sweats)
   −
EXAMPLE: Fatigue
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<span class="blue-text">EXAMPLE:</span> Fatigue
   −
EXAMPLE: Lymphadenopathy (uncommon)
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<span class="blue-text">EXAMPLE:</span> Lymphadenopathy (uncommon)
 
|-
 
|-
 
|'''Laboratory Findings'''
 
|'''Laboratory Findings'''
|EXAMPLE: Cytopenias
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|<span class="blue-text">EXAMPLE:</span> Cytopenias
EXAMPLE: Lymphocytosis (low level)
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<span class="blue-text">EXAMPLE:</span> Lymphocytosis (low level)
 
|}
 
|}
 
==Sites of Involvement==
 
==Sites of Involvement==
Put your text here <span style="color:#0070C0">(''Instruction: Indicate physical sites; Example: nodal, extranodal, bone marrow'') </span>
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Put your text here <span style="color:#0070C0">(''Instruction: Indicate physical sites; <span class="blue-text">EXAMPLE:</span> nodal, extranodal, bone marrow'') </span>
 
==Morphologic Features==
 
==Morphologic Features==
 
Put your text here
 
Put your text here
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!Finding!!Marker
 
!Finding!!Marker
 
|-
 
|-
|Positive (universal)||EXAMPLE: CD1
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|Positive (universal)||<span class="blue-text">EXAMPLE:</span> CD1
 
|-
 
|-
 
|Positive (subset)||
 
|Positive (subset)||
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!Notes
 
!Notes
 
|-
 
|-
|EXAMPLE: t(9;22)(q34;q11.2)||EXAMPLE: 3'ABL1 / 5'BCR||EXAMPLE: der(22)||EXAMPLE: 20% (COSMIC)
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|<span class="blue-text">EXAMPLE:</span> t(9;22)(q34;q11.2)||<span class="blue-text">EXAMPLE:</span> 3'ABL1 / 5'BCR||<span class="blue-text">EXAMPLE:</span> der(22)||<span class="blue-text">EXAMPLE:</span> 20% (COSMIC)
EXAMPLE: 30% (add reference)
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<span class="blue-text">EXAMPLE:</span> 30% (add reference)
|EXAMPLE: Yes
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|<span class="blue-text">EXAMPLE:</span> Yes
|EXAMPLE: No
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|<span class="blue-text">EXAMPLE:</span> No
|EXAMPLE: Yes
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|<span class="blue-text">EXAMPLE:</span> Yes
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
The t(9;22) is diagnostic of CML in the appropriate morphology and clinical context (add reference). This fusion is responsive to targeted therapy such as Imatinib (Gleevec) (add reference).
 
The t(9;22) is diagnostic of CML in the appropriate morphology and clinical context (add reference). This fusion is responsive to targeted therapy such as Imatinib (Gleevec) (add reference).
 
|}
 
|}
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!Notes
 
!Notes
 
|-
 
|-
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
7
 
7
|EXAMPLE: Loss
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|<span class="blue-text">EXAMPLE:</span> Loss
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
chr7:1- 159,335,973 [hg38]
 
chr7:1- 159,335,973 [hg38]
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
chr7
 
chr7
|EXAMPLE: Yes
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|<span class="blue-text">EXAMPLE:</span> Yes
|EXAMPLE: Yes
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|<span class="blue-text">EXAMPLE:</span> Yes
|EXAMPLE: No
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|<span class="blue-text">EXAMPLE:</span> No
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
Presence of monosomy 7 (or 7q deletion) is sufficient for a diagnosis of AML with MDS-related changes when there is ≥20% blasts and no prior therapy (add reference).  Monosomy 7/7q deletion is associated with a poor prognosis in AML (add reference).
 
Presence of monosomy 7 (or 7q deletion) is sufficient for a diagnosis of AML with MDS-related changes when there is ≥20% blasts and no prior therapy (add reference).  Monosomy 7/7q deletion is associated with a poor prognosis in AML (add reference).
 
|-
 
|-
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
8
 
8
|EXAMPLE: Gain
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|<span class="blue-text">EXAMPLE:</span> Gain
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
chr8:1-145,138,636 [hg38]
 
chr8:1-145,138,636 [hg38]
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
chr8
 
chr8
|EXAMPLE: No
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|<span class="blue-text">EXAMPLE:</span> No
|EXAMPLE: No
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|<span class="blue-text">EXAMPLE:</span> No
|EXAMPLE: No
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|<span class="blue-text">EXAMPLE:</span> No
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
Common recurrent secondary finding for t(8;21) (add reference).
 
Common recurrent secondary finding for t(8;21) (add reference).
 
|}
 
|}
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!Notes
 
!Notes
 
|-
 
|-
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
Co-deletion of 1p and 18q
 
Co-deletion of 1p and 18q
|EXAMPLE: Yes
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|<span class="blue-text">EXAMPLE:</span> Yes
|EXAMPLE: No
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|<span class="blue-text">EXAMPLE:</span> No
|EXAMPLE: No
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|<span class="blue-text">EXAMPLE:</span> No
|EXAMPLE:
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|<span class="blue-text">EXAMPLE:</span>
 
See chromosomal rearrangements table as this pattern is due to an unbalanced derivative translocation associated with oligodendroglioma (add reference).
 
See chromosomal rearrangements table as this pattern is due to an unbalanced derivative translocation associated with oligodendroglioma (add reference).
 
|}
 
|}
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!Notes
 
!Notes
 
|-
 
|-
|EXAMPLE: TP53; Variable LOF mutations
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|<span class="blue-text">EXAMPLE:</span> TP53; Variable LOF mutations
EXAMPLE:
+
<span class="blue-text">EXAMPLE:</span>
    
EGFR; Exon 20 mutations
 
EGFR; Exon 20 mutations
   −
EXAMPLE: BRAF; Activating mutations
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<span class="blue-text">EXAMPLE:</span> BRAF; Activating mutations
|EXAMPLE: TSG
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|<span class="blue-text">EXAMPLE:</span> TSG
|EXAMPLE: 20% (COSMIC)
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|<span class="blue-text">EXAMPLE:</span> 20% (COSMIC)
EXAMPLE: 30% (add Reference)
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<span class="blue-text">EXAMPLE:</span> 30% (add Reference)
|EXAMPLE: IDH1 R123H
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|<span class="blue-text">EXAMPLE:</span> IDH1 R123H
|EXAMPLE: EGFR amplification
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|<span class="blue-text">EXAMPLE:</span> EGFR amplification
 
|
 
|
 
|
 
|
 
|
 
|
|EXAMPLE: Excludes hairy cell leukemia (HCL) (add reference).
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|<span class="blue-text">EXAMPLE:</span> Excludes hairy cell leukemia (HCL) (add reference).
 
|}Note: A more extensive list of mutations can be found in cBioportal (https://www.cbioportal.org/), COSMIC (https://cancer.sanger.ac.uk/cosmic), ICGC (https://dcc.icgc.org/) and/or other databases. When applicable, gene-specific pages within the CCGA site directly link to pertinent external content.
 
|}Note: A more extensive list of mutations can be found in cBioportal (https://www.cbioportal.org/), COSMIC (https://cancer.sanger.ac.uk/cosmic), ICGC (https://dcc.icgc.org/) and/or other databases. When applicable, gene-specific pages within the CCGA site directly link to pertinent external content.
 
==Epigenomic Alterations==
 
==Epigenomic Alterations==
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!Gene; Genetic Alteration!!Pathway!!Pathophysiologic Outcome
 
!Gene; Genetic Alteration!!Pathway!!Pathophysiologic Outcome
 
|-
 
|-
|EXAMPLE: BRAF and MAP2K1; Activating mutations
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|<span class="blue-text">EXAMPLE:</span> BRAF and MAP2K1; Activating mutations
|EXAMPLE: MAPK signaling
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|<span class="blue-text">EXAMPLE:</span> MAPK signaling
|EXAMPLE: Increased cell growth and proliferation
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|<span class="blue-text">EXAMPLE:</span> Increased cell growth and proliferation
 
|-
 
|-
|EXAMPLE: CDKN2A; Inactivating mutations
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|<span class="blue-text">EXAMPLE:</span> CDKN2A; Inactivating mutations
|EXAMPLE: Cell cycle regulation
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|<span class="blue-text">EXAMPLE:</span> Cell cycle regulation
|EXAMPLE: Unregulated cell division
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|<span class="blue-text">EXAMPLE:</span> Unregulated cell division
 
|-
 
|-
|EXAMPLE: KMT2C and ARID1A; Inactivating mutations
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|<span class="blue-text">EXAMPLE:</span> KMT2C and ARID1A; Inactivating mutations
|EXAMPLE: Histone modification, chromatin remodeling
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|<span class="blue-text">EXAMPLE:</span> Histone modification, chromatin remodeling
|EXAMPLE: Abnormal gene expression program
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|<span class="blue-text">EXAMPLE:</span> Abnormal gene expression program
 
|}
 
|}
 
==Genetic Diagnostic Testing Methods==
 
==Genetic Diagnostic Testing Methods==