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BRAF mutations might be more common than supposed in vulvar melanomas
Authors:Sophie Wylomanski  Marc G. Denis  Sandrine Théoleyre  Réjane Bouquin  Audrey Vallée  Anne‐Chantal Knol  Mélanie Saint‐Jean  Lucie Peuvrel  Brigitte Dréno  Gaëlle Quéreux
Affiliation:1. Department of Obstetrics and Gynecology, Nantes University Hospital, Nantes, France;2. INSERM U 1232, Nantes, France;3. Department of Biochemistry, Nantes University Hospital, Nantes, France;4. Immuno‐Dermatology Laboratory, Nantes University Hospital, Nantes, France;5. Department of Dermatology, Nantes University Hospital, Nantes, France;6. INSERM CIC 1413, Clinical Investigation Center, Nantes University Hospital, Nantes, France
Abstract:Data on BRAF, NRAS and KIT mutations are scarce in patients with vulvo‐vaginal melanomas and are associated with important therapeutic issues. We investigated their prevalence in a cohort of patients with female lower genital tract melanomas between 2003 and 2017. Of the 22 patients, 5 (22.7%) harboured a BRAF mutation, which was much higher than the rate of 5% reported in the literature. One patient, who was tested negative on the primary melanoma, had a NRAS mutation in a cutaneous metastasis. Our data provide a rationale for prospective and repeated mutations testing in female lower genital tract melanomas.
Keywords:female lower genital tract  melanoma  oncogenic mutations
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