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The molecular origin and taxonomy of mucinous ovarian carcinoma

Title: The molecular origin and taxonomy of mucinous ovarian carcinoma
Authors: Cheasley, D; Wakefield, MJ; Ryland, GL; Allan, PE; Alsop, K; Amarasinghe, KC; Ananda, S; Anglesio, MS; Au-Yeung, G; Böhm, M; Bowtell, DDL; Brand, A; Chenevix-Trench, G; Christie, M; Chiew, YE; Churchman, M; DeFazio, A; Demeo, R; Dudley, R; Fairweather, N; Fedele, CG; Fereday, S; Fox, SB; Gilks, CB; Gourley, C; Hacker, NF; Hadley, AM; Hendley, J; Ho, GY; Hughes, S; Hunstman, DG; Hunter, SM; Jobling, TW; Kalli, KR; Kaufmann, SH; Kennedy, CJ; Köbel, M; Le Page, C; Li, J; Lupat, R; McNally, OM; McAlpine, JN; Mes-Masson, AM; Mileshkin, L; Provencher, DM; Pyman, J; Rahimi, K; Rowley, SM; Salazar, C; Samimi, G; Saunders, H; Semple, T; Sharma, R; Sharpe, AJ; Stephens, AN; Thio, N; Torres, MC; Traficante, N; Xing, Z; Zethoven, M; Antill, YC; Scott, CL; Campbell, IG; Gorringe, KL
Publisher Information: NATURE PUBLISHING GROUP
Publication Year: 2019
Collection: The University of Melbourne: Digital Repository
Description: Mucinous ovarian carcinoma (MOC) is a unique subtype of ovarian cancer with an uncertain etiology, including whether it genuinely arises at the ovary or is metastatic disease from other organs. In addition, the molecular drivers of invasive progression, high-grade and metastatic disease are poorly defined. We perform genetic analysis of MOC across all histological grades, including benign and borderline mucinous ovarian tumors, and compare these to tumors from other potential extra-ovarian sites of origin. Here we show that MOC is distinct from tumors from other sites and supports a progressive model of evolution from borderline precursors to high-grade invasive MOC. Key drivers of progression identified are TP53 mutation and copy number aberrations, including a notable amplicon on 9p13. High copy number aberration burden is associated with worse prognosis in MOC. Our data conclusively demonstrate that MOC arise from benign and borderline precursors at the ovary and are not extra-ovarian metastases.
Document Type: article in journal/newspaper
Language: English
ISSN: 2041-1723
Relation: NHMRC/1045783; NHMRC/400281; NHMRC/628434; NHMRC/400413; NHMRC/310670; NHMRC/628903; https://hdl.handle.net/11343/227530
Availability: https://hdl.handle.net/11343/227530
Rights: https://creativecommons.org/licenses/by/4.0 ; CC BY
Accession Number: edsbas.A491FDB8
Database: BASE