000169883 001__ 169883 000169883 005__ 20240229133659.0 000169883 0247_ $$2doi$$a10.1016/j.jaad.2021.07.011 000169883 0247_ $$2pmid$$apmid:34280484 000169883 0247_ $$2ISSN$$a0190-9622 000169883 0247_ $$2ISSN$$a1097-6787 000169883 0247_ $$2altmetric$$aaltmetric:110001965 000169883 037__ $$aDKFZ-2021-01617 000169883 041__ $$aEnglish 000169883 082__ $$a610 000169883 1001_ $$aGaudy-Marqueste, Caroline$$b0 000169883 245__ $$aMolecular characterization of fast-growing melanomas. 000169883 260__ $$aAmsterdam [u.a.]$$bElsevier$$c2022 000169883 3367_ $$2DRIVER$$aarticle 000169883 3367_ $$2DataCite$$aOutput Types/Journal article 000169883 3367_ $$0PUB:(DE-HGF)16$$2PUB:(DE-HGF)$$aJournal Article$$bjournal$$mjournal$$s1643978664_5756 000169883 3367_ $$2BibTeX$$aARTICLE 000169883 3367_ $$2ORCID$$aJOURNAL_ARTICLE 000169883 3367_ $$00$$2EndNote$$aJournal Article 000169883 500__ $$aVolume 86, Issue 2, February 2022, Pages 312-321 000169883 520__ $$aThe rate of growth of primary melanoma is a robust predictor of aggressiveness, but the mutational profile of fast-growing melanomas (FGMM), and its potential to stratify patients at high risk of death, has not been comprehensively studied.To investigate the epidemiological, clinical and mutational profile of primary cutaneous melanomas with a thickness ≥ 1mm, stratified by rate of growth (ROG).Observational prospective study. Deep-targeted sequencing of 40 melanoma driver genes on formalin fixed, paraffin embedded primary melanoma samples. Comparison of FGMM (ROG >0.5mm/month) and non-FGMM (ROG≤0.5 mm/month).Two hundred patients were enrolled among which 70 were FGMM. The relapse free survival was lower in the FGMM group (p=0.014). FGMM had a higher number of predicted deleterious mutations within the 40 genes than non-FGMM (p=0.033). Ulceration (p=0.032), thickness (p=0.006), lower sun exposure (p=0.049), and FGFR2 mutations (p=0.037) were significantly associated with fast growth.Single-center study, cohort size, potential memory bias, number of investigated genes.Fast growth is linked to specific tumor biology and environmental factors. Ulceration, thickness and FGFR2 mutations associate with fast growth. Screening for FGFR2 mutations might provide an additional tool to better identify FGMM which are probably good candidates for adjuvant therapies. 000169883 536__ $$0G:(DE-HGF)POF4-312$$a312 - Funktionelle und strukturelle Genomforschung (POF4-312)$$cPOF4-312$$fPOF IV$$x0 000169883 588__ $$aDataset connected to CrossRef, PubMed, , Journals: inrepo01.inet.dkfz-heidelberg.de 000169883 650_7 $$2Other$$aFGFR2 mutations 000169883 650_7 $$2Other$$aMelanoma 000169883 650_7 $$2Other$$afast growth melanoma 000169883 650_7 $$2Other$$amutations of poor prognosis 000169883 7001_ $$aMacagno, Nicolas$$b1 000169883 7001_ $$aLoundou, Anderson$$b2 000169883 7001_ $$aPellegrino, Eric$$b3 000169883 7001_ $$aOuafik, L'houcine$$b4 000169883 7001_ $$aBudden, Timothy$$b5 000169883 7001_ $$aMundra, Piyushkumar$$b6 000169883 7001_ $$aGremel, Gabriela$$b7 000169883 7001_ $$aAkhras, Victoria$$b8 000169883 7001_ $$aLin, Lijing$$b9 000169883 7001_ $$aCook, Martin$$b10 000169883 7001_ $$0P:(DE-He78)9a9af43c15771eaf3b2db8bb28a2829d$$aKumar, Rajiv$$b11$$udkfz 000169883 7001_ $$aGrob, Jean-Jacques$$b12 000169883 7001_ $$aNagore, Eduardo$$b13 000169883 7001_ $$aMarais, Richard$$b14 000169883 7001_ $$aVirós, Amaya$$b15 000169883 773__ $$0PERI:(DE-600)2001404-1$$a10.1016/j.jaad.2021.07.011$$gp. 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