1. A quality control program for mutation detection in KIT and PDGFRA in gastrointestinal stromal tumours
- Author
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Fabienne Escande, Jean Michel Coindre, Silvana Pilotti, Sébastien Forget, Paolo Dei Tos, Pierre Paul Bringuier, Maria Debiec-Rychter, Elena Tamborini, David Gonzalez, Nicolas Faur, L Morzuch, Isabelle Hostein, Louisa Toffolati, Sylvianne Olschwang, Jean-François Emile, Département de pathologie, Institut Bergonié - CRLCC Bordeaux, university of leuven, Department of Human Genetics, Centre de Recherche en Cancérologie de Marseille ( CRCM ), Aix Marseille Université ( AMU ) -Institut Paoli-Calmettes-Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS ), Centre de Recherche en Cancérologie de Lyon ( CRCL ), Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Université de Lyon-Centre Léon Bérard [Lyon]-Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS ), CA foncello Hospital, Department of pathology, Oncogenetics Team, The Institute of Cancer Research and Royal Marsden NHS Foundation Trust, Laboratoire de Physique des Lasers ( LPL ), Université Paris 13 ( UP13 ) -Université Sorbonne Paris Cité ( USPC ) -Institut Galilée-Centre National de la Recherche Scientifique ( CNRS ), biology and pathological laboratory, Laboratoire épidémiologie et oncogénèse des tumeurs digestives, Université de Versailles Saint-Quentin-en-Yvelines ( UVSQ ), Service de Pathologie, Institut Bergonié, Institut Bergonié [Bordeaux], UNICANCER-UNICANCER, UNICANCER, Radboud University Medical Center [Nijmegen], Centre de Recherche en Cancérologie de Marseille (CRCM / U891 Inserm), Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Paoli-Calmettes, Fédération nationale des Centres de lutte contre le Cancer (FNCLCC)-Fédération nationale des Centres de lutte contre le Cancer (FNCLCC), Centre de Recherche en Cancérologie de Lyon (UNICANCER/CRCL), Centre Léon Bérard [Lyon]-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Laboratoire de Physique des Lasers (LPL), Université Paris 13 (UP13)-Centre National de la Recherche Scientifique (CNRS), Medical University of Gdańsk, Fondazione IRCCS Istituto Nazionale Tumori - National Cancer Institute [Milan], Biomarqueurs et essais cliniques en Cancérologie et Onco-Hématologie (BECCOH), and Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Saclay
- Subjects
Oncology ,Receptor, Platelet-Derived Growth Factor alpha ,MESH : Polymorphism, Genetic ,MESH: Receptor, Platelet-Derived Growth Factor alpha ,DNA Mutational Analysis ,MESH: Quality Control ,MESH : Genotype ,medicine.disease_cause ,[ SDV.CAN ] Life Sciences [q-bio]/Cancer ,MESH: Genotype ,MESH : Exons ,0302 clinical medicine ,Surgical oncology ,Genotype ,MESH: DNA Mutational Analysis ,0303 health sciences ,Mutation ,MESH : Gastrointestinal Stromal Tumors ,GiST ,Gastroenterology ,MESH : Quality Control ,DNA, Neoplasm ,Exons ,3. Good health ,MESH: Proto-Oncogene Proteins c-kit ,Proto-Oncogene Proteins c-kit ,030220 oncology & carcinogenesis ,MESH: Laboratories ,MESH : DNA, Neoplasm ,MESH : Mutation ,MESH: Gastrointestinal Stromal Tumors ,Quality Control ,medicine.medical_specialty ,MESH: Mutation ,Gastrointestinal Stromal Tumors ,MESH: DNA, Neoplasm ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,MESH : DNA Mutational Analysis ,PDGFRA ,Biology ,MESH : Laboratories ,MESH : Proto-Oncogene Proteins c-kit ,03 medical and health sciences ,Internal medicine ,MESH: Polymorphism, Genetic ,medicine ,Humans ,Genotyping ,030304 developmental biology ,MESH: Humans ,Polymorphism, Genetic ,MESH : Humans ,Hepatology ,digestive system diseases ,Immunology ,MESH : Receptor, Platelet-Derived Growth Factor alpha ,MESH: Exons ,Laboratories - Abstract
International audience; BACKGROUND: Although most gastrointestinal stromal tumours (GIST) carry oncogenic mutations in KIT exons 9, 11, 13 and 17, or in platelet-derived growth factor receptor alpha (PDGFRA) exons 12, 14 and 18, around 10% of GIST are free of these mutations. Genotyping and accurate detection of KIT/PDGFRA mutations in GIST are becoming increasingly useful for clinicians in the management of the disease. METHOD: To evaluate and improve laboratory practice in GIST mutation detection, we developed a mutational screening quality control program. Eleven laboratories were enrolled in this program and 50 DNA samples were analysed, each of them by four different laboratories, giving 200 mutational reports. RESULTS: In total, eight mutations were not detected by at least one laboratory. One false positive result was reported in one sample. Thus, the mean global rate of error with clinical implication based on 200 reports was 4.5%. Concerning specific polymorphisms detection, the rate varied from 0 to 100%, depending on the laboratory. The way mutations were reported was very heterogeneous, and some errors were detected. CONCLUSION: This study demonstrated that such a program was necessary for laboratories to improve the quality of the analysis, because an error rate of 4.5% may have clinical consequences for the patient.
- Published
- 2011
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