Gene Expression Profile Class Change in a Case of Aggressive, Recurrent Melanoma

Author:

Aye Jennifer1,Gold Aaron1,Rodriguez Belinda1,Murray Timothy1ORCID

Affiliation:

1. Murray Ocular Oncology and Retina, Miami, FL, USA

Abstract

Purpose: To report a novel case of a recurrent melanoma that had a change in its genetic expression profile (GEP) class over a 2-year period. Methods: This retrospective case study evaluated a patient with a recurrent uveal melanoma that changed classes from 1A to 1B. Results: A large melanoma was first treated with brachytherapy, and during that time genetic testing revealed a class 1A tumor. Two years later the tumor was noted to be enlarging, and the patient elected for enucleation. Subsequent GEP showed a class 1B tumor. Conclusions: An aggressive and large recurrent uveal melanoma that had changed from a class 1A to a class 1B tumor on subsequent GEP testing has never been reported before to our knowledge. It may imply that a recurrent or aggressive tumor has more mutations over time that could lead to a higher risk for metastasis. The natural course of a tumor’s GEP class should be explored further.

Publisher

SAGE Publications

Subject

General Medicine

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1. From the Editor-in-Chief;Journal of VitreoRetinal Diseases;2024-01

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