Prognostic Value of CTNNB1 Gene Mutation in Primary Sporadic Aggressive Fibromatosis

Background Aggressive fibromatosis (AF) comprises tumors with a varying biological behavior. Genetic tumor characteristics may be predictive of recurrence; hence, the prognostic value of three specific mutations on the CTNNB1 gene was evaluated in relation to known clinicopathologic risk factors in...

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Veröffentlicht in:Annals of surgical oncology 2015-05, Vol.22 (5), p.1464-1470
Hauptverfasser: van Broekhoven, Danique L. M., Verhoef, Cornelis, Grünhagen, Dirk J., van Gorp, Joost M. H. H., den Bakker, Michael A., Hinrichs, John W. J., de Voijs, Carmen M. A., van Dalen, Thijs
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container_issue 5
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container_title Annals of surgical oncology
container_volume 22
creator van Broekhoven, Danique L. M.
Verhoef, Cornelis
Grünhagen, Dirk J.
van Gorp, Joost M. H. H.
den Bakker, Michael A.
Hinrichs, John W. J.
de Voijs, Carmen M. A.
van Dalen, Thijs
description Background Aggressive fibromatosis (AF) comprises tumors with a varying biological behavior. Genetic tumor characteristics may be predictive of recurrence; hence, the prognostic value of three specific mutations on the CTNNB1 gene was evaluated in relation to known clinicopathologic risk factors in patients with primary, sporadic AF. Methods In a multi-institutional retrospective cohort study of patients with primary extra-abdominal and abdominal wall AF who underwent surgical treatment, the original pathology specimens were reviewed for the presence of a T41A, S45F, and 45P mutations on the CTNNB1 gene. For these mutations, the risk of recurrence was analyzed by the Kaplan–Meier method with log-rank test. Univariable and multivariable Cox regression was performed to calculate hazard ratios. Results A total of 101 patients were analyzed. During a median follow-up of 41 months, 17 recurrences were detected; the cumulative 5-year recurrence rate was 22.8 %. A specific CTNNB1 mutation was found in 76 patients, with the majority of patients having a T41A mutation ( n  = 49). CTNNB1 mutations were associated with the risk of recurrence: the presence of a S45F mutation was associated with a 5-year cumulative risk of recurrence of 63.8 % ( P  
doi_str_mv 10.1245/s10434-014-4156-x
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M. ; Verhoef, Cornelis ; Grünhagen, Dirk J. ; van Gorp, Joost M. H. H. ; den Bakker, Michael A. ; Hinrichs, John W. J. ; de Voijs, Carmen M. A. ; van Dalen, Thijs</creator><creatorcontrib>van Broekhoven, Danique L. M. ; Verhoef, Cornelis ; Grünhagen, Dirk J. ; van Gorp, Joost M. H. H. ; den Bakker, Michael A. ; Hinrichs, John W. J. ; de Voijs, Carmen M. A. ; van Dalen, Thijs</creatorcontrib><description>Background Aggressive fibromatosis (AF) comprises tumors with a varying biological behavior. Genetic tumor characteristics may be predictive of recurrence; hence, the prognostic value of three specific mutations on the CTNNB1 gene was evaluated in relation to known clinicopathologic risk factors in patients with primary, sporadic AF. Methods In a multi-institutional retrospective cohort study of patients with primary extra-abdominal and abdominal wall AF who underwent surgical treatment, the original pathology specimens were reviewed for the presence of a T41A, S45F, and 45P mutations on the CTNNB1 gene. For these mutations, the risk of recurrence was analyzed by the Kaplan–Meier method with log-rank test. Univariable and multivariable Cox regression was performed to calculate hazard ratios. Results A total of 101 patients were analyzed. During a median follow-up of 41 months, 17 recurrences were detected; the cumulative 5-year recurrence rate was 22.8 %. A specific CTNNB1 mutation was found in 76 patients, with the majority of patients having a T41A mutation ( n  = 49). CTNNB1 mutations were associated with the risk of recurrence: the presence of a S45F mutation was associated with a 5-year cumulative risk of recurrence of 63.8 % ( P  &lt; 0.001). Multivariable analysis showed that young age and S45F mutation were independent risk factors ( P  = 0.011 and P  &lt; 0.001). Conclusions The presence of specific CTNNB1 mutations was predictive for recurrence in patients after surgical treatment for primary, sporadic extra-abdominal and abdominal AF. A S45F mutation increased the risk of recurrence significantly.</description><identifier>ISSN: 1068-9265</identifier><identifier>EISSN: 1534-4681</identifier><identifier>DOI: 10.1245/s10434-014-4156-x</identifier><identifier>PMID: 25341748</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; beta Catenin - genetics ; Bone and Soft Tissue Sarcomas ; Child ; Child, Preschool ; Female ; Fibromatosis, Aggressive - genetics ; Fibromatosis, Aggressive - mortality ; Fibromatosis, Aggressive - pathology ; Follow-Up Studies ; Humans ; Infant ; Infant, Newborn ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Mutation - genetics ; Neoplasm Recurrence, Local - diagnosis ; Neoplasm Recurrence, Local - genetics ; Neoplasm Recurrence, Local - mortality ; Neoplasm Staging ; Oncology ; Prognosis ; Surgery ; Surgical Oncology ; Survival Rate ; Young Adult</subject><ispartof>Annals of surgical oncology, 2015-05, Vol.22 (5), p.1464-1470</ispartof><rights>Society of Surgical Oncology 2014</rights><rights>Society of Surgical Oncology 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-122409cf55b42b47b42bb97ece87cc060f45fd71a28341df85c3b2e2e687290c3</citedby><cites>FETCH-LOGICAL-c475t-122409cf55b42b47b42bb97ece87cc060f45fd71a28341df85c3b2e2e687290c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1245/s10434-014-4156-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1245/s10434-014-4156-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25341748$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Broekhoven, Danique L. M.</creatorcontrib><creatorcontrib>Verhoef, Cornelis</creatorcontrib><creatorcontrib>Grünhagen, Dirk J.</creatorcontrib><creatorcontrib>van Gorp, Joost M. H. H.</creatorcontrib><creatorcontrib>den Bakker, Michael A.</creatorcontrib><creatorcontrib>Hinrichs, John W. J.</creatorcontrib><creatorcontrib>de Voijs, Carmen M. A.</creatorcontrib><creatorcontrib>van Dalen, Thijs</creatorcontrib><title>Prognostic Value of CTNNB1 Gene Mutation in Primary Sporadic Aggressive Fibromatosis</title><title>Annals of surgical oncology</title><addtitle>Ann Surg Oncol</addtitle><addtitle>Ann Surg Oncol</addtitle><description>Background Aggressive fibromatosis (AF) comprises tumors with a varying biological behavior. Genetic tumor characteristics may be predictive of recurrence; hence, the prognostic value of three specific mutations on the CTNNB1 gene was evaluated in relation to known clinicopathologic risk factors in patients with primary, sporadic AF. Methods In a multi-institutional retrospective cohort study of patients with primary extra-abdominal and abdominal wall AF who underwent surgical treatment, the original pathology specimens were reviewed for the presence of a T41A, S45F, and 45P mutations on the CTNNB1 gene. For these mutations, the risk of recurrence was analyzed by the Kaplan–Meier method with log-rank test. Univariable and multivariable Cox regression was performed to calculate hazard ratios. Results A total of 101 patients were analyzed. During a median follow-up of 41 months, 17 recurrences were detected; the cumulative 5-year recurrence rate was 22.8 %. A specific CTNNB1 mutation was found in 76 patients, with the majority of patients having a T41A mutation ( n  = 49). CTNNB1 mutations were associated with the risk of recurrence: the presence of a S45F mutation was associated with a 5-year cumulative risk of recurrence of 63.8 % ( P  &lt; 0.001). Multivariable analysis showed that young age and S45F mutation were independent risk factors ( P  = 0.011 and P  &lt; 0.001). Conclusions The presence of specific CTNNB1 mutations was predictive for recurrence in patients after surgical treatment for primary, sporadic extra-abdominal and abdominal AF. 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M.</au><au>Verhoef, Cornelis</au><au>Grünhagen, Dirk J.</au><au>van Gorp, Joost M. H. H.</au><au>den Bakker, Michael A.</au><au>Hinrichs, John W. J.</au><au>de Voijs, Carmen M. A.</au><au>van Dalen, Thijs</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic Value of CTNNB1 Gene Mutation in Primary Sporadic Aggressive Fibromatosis</atitle><jtitle>Annals of surgical oncology</jtitle><stitle>Ann Surg Oncol</stitle><addtitle>Ann Surg Oncol</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>22</volume><issue>5</issue><spage>1464</spage><epage>1470</epage><pages>1464-1470</pages><issn>1068-9265</issn><eissn>1534-4681</eissn><abstract>Background Aggressive fibromatosis (AF) comprises tumors with a varying biological behavior. Genetic tumor characteristics may be predictive of recurrence; hence, the prognostic value of three specific mutations on the CTNNB1 gene was evaluated in relation to known clinicopathologic risk factors in patients with primary, sporadic AF. Methods In a multi-institutional retrospective cohort study of patients with primary extra-abdominal and abdominal wall AF who underwent surgical treatment, the original pathology specimens were reviewed for the presence of a T41A, S45F, and 45P mutations on the CTNNB1 gene. For these mutations, the risk of recurrence was analyzed by the Kaplan–Meier method with log-rank test. Univariable and multivariable Cox regression was performed to calculate hazard ratios. Results A total of 101 patients were analyzed. During a median follow-up of 41 months, 17 recurrences were detected; the cumulative 5-year recurrence rate was 22.8 %. A specific CTNNB1 mutation was found in 76 patients, with the majority of patients having a T41A mutation ( n  = 49). CTNNB1 mutations were associated with the risk of recurrence: the presence of a S45F mutation was associated with a 5-year cumulative risk of recurrence of 63.8 % ( P  &lt; 0.001). Multivariable analysis showed that young age and S45F mutation were independent risk factors ( P  = 0.011 and P  &lt; 0.001). Conclusions The presence of specific CTNNB1 mutations was predictive for recurrence in patients after surgical treatment for primary, sporadic extra-abdominal and abdominal AF. A S45F mutation increased the risk of recurrence significantly.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25341748</pmid><doi>10.1245/s10434-014-4156-x</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
beta Catenin - genetics
Bone and Soft Tissue Sarcomas
Child
Child, Preschool
Female
Fibromatosis, Aggressive - genetics
Fibromatosis, Aggressive - mortality
Fibromatosis, Aggressive - pathology
Follow-Up Studies
Humans
Infant
Infant, Newborn
Male
Medicine
Medicine & Public Health
Middle Aged
Mutation - genetics
Neoplasm Recurrence, Local - diagnosis
Neoplasm Recurrence, Local - genetics
Neoplasm Recurrence, Local - mortality
Neoplasm Staging
Oncology
Prognosis
Surgery
Surgical Oncology
Survival Rate
Young Adult
title Prognostic Value of CTNNB1 Gene Mutation in Primary Sporadic Aggressive Fibromatosis
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