Table 2 Pathogenic gene variants identified in each patient based on the different time points of their tumor evolution.

From: Genomic characterization and tumor evolution in paired samples of metaplastic breast carcinoma

Patient ID

Primary tumor (PT)

First tumor recurrence (R1)

Second tumor recurrence/progression (R2)

Third tumor recurrence/progression (R3)

P1

MCHMD

MCHMD

TP53 (c.625C > T; p.Arg209Trp) TP53 loss

TP53 (c.625C > T; p.Arg209Trp) TP53 loss

P2

SQCC

SQCC

SQCC

SPCC

TP53 (c.594G > T; p.Met198Ile)

TP53 (c.594G > T; p.Met198Ile)

TP53 (c.594G > T; p.Met198Ile) MYC amplification PTEN loss

TP53 (c.594G > T; p.Met198Ile) MYC amplification PTEN loss NFIB amplification

P3

SPCC

SPCC + MCHMD

SPCC + MCHMD

TERT (Chr: 5, Position: 1295228C > T) TP53 (c.528_530delinsGCA; p.Cys176_Pro177delinsTrpHis)

TERT (Chr: 5, Position: 1295228C > T) TP53 (c.528_530delinsGCA; p.Cys176_Pro177delinsTrpHis)

TERT (Chr: 5, Position: 1295228C > T) TP53 (c.528_530delinsGCA; p.Cys176_Pro177delinsTrpHis)

P4

ICNST

ICNST + SPCC

TP53 (c.597_599dup; p.Asn200dup) PTEN loss

TP53 (c.597_599dup; p.Asn200dup) PTEN loss

P5

ICNST + SPCC

ICNST + MCHMD

TP53 (c.206_212dup; p.Leu72PhefsTer40) KRAS gain PBRM1 loss TP53 loss BRCA2 loss

TP53 (c.206_212dup; p.Leu72PhefsTer40) KRAS gain PBRM1 loss TP53 loss BRCA2 loss PMS2 loss

P6

ICNST

MCHMD

MCHMD

BRCA1 (c.1884_1885insCAGG; p.Arg629GlnfsTer8) TP53 (c.407G > A; p.Arg136His)

BRCA1 (c.1884_1885insCAGG; p.Arg629GlnfsTer8) TP53 (c.407G > A; p.Arg136His) TP53 loss MYC amplification BRCA1 loss

BRCA1 (c.1884_1885insCAGG; p.Arg629GlnfsTer8) TP53 (c.407G > A; p.Arg136His)

P7

MCHMD

MCHMD

PTEN (c.259C> T; p.Gln87Ter) TP53 (c.902_911del; p.Met301SerfsTer2) PIK3CA amplification ZNF217 amplification MYC amplification PTEN loss

PTEN (c.259C> T; p.Gln87Ter) TP53 (c.902_911del; p.Met301SerfsTer2) PIK3CA amplification ZNF217 amplification MYC amplification PTEN loss

-

P8

SPCC

SPCC

SPCC

TERT (Chr: 5, Position: 1295228C > T) TP53 (c.542A > G; p.Tyr181Cys) FGFR1 amplification

TERT (Chr: 5, Position: 1295228C > T) TP53 (c.542A > G; p.Tyr181Cys) PTEN loss

TERT (Chr: 5, Position: 1295228C > T) TP53 (c.542A > G; p.Tyr181Cys) PTEN loss

-

  1. MCHMD metaplastic carcinoma with heterologous mesenchymal differentiation, SQCC squamous cell carcinoma, SPCC spindle cell carcinoma, ICNST invasive carcinoma of no special type.