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Jiahui Wu
Jiahui Wu
Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Xunyang Hu
Xunyang Hu
Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Paula Seal
Paula Seal
EFW Radiology, Calgary, Alberta, Canada
Department of Radiology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Department of Radiology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Parthiv Amin
Parthiv Amin
Department of Radiology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Brendan Diederichs
Brendan Diederichs
Department of Radiology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
Mayfair Radiology, Calgary, Alberta, Canada
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Mayfair Radiology, Calgary, Alberta, Canada
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Ralf Paschke
Ralf Paschke
Section of Endocrinology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
Departments of Medicine, Oncology, Pathology and Laboratory Medicine, Biochemistry and Molecular Biology, and Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Departments of Medicine, Oncology, Pathology and Laboratory Medicine, Biochemistry and Molecular Biology, and Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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. and Grani et al. ( 5 , 6 ). In 2013, the European Thyroid Association (ETA) released POU guidelines for patients with thyroid cancer, which defined POU criteria for lymph node and thyroid bed nodule assessment ( 7 ). A retrospective assessment of
Luigino Dal Maso
Luigino Dal Maso
Cancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy
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Daniela Pierannunzio
Daniela Pierannunzio
National Centre for Disease Prevention and Health Promotion, National Institute of Health, Rome, Italy
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Silvia Francisci
Silvia Francisci
National Centre for Disease Prevention and Health Promotion, National Institute of Health, Rome, Italy
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Angela De Paoli
Angela De Paoli
Epidemiological Department, Azienda Zero, Padova, Italy
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Federica Toffolutti
Federica Toffolutti
Cancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy
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Salvatore Vaccarella
Salvatore Vaccarella
Section of Cancer Surveillance, International Agency for Research on Cancer, Lyon, France
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Silvia Franceschi
Silvia Franceschi
Cancer Epidemiology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy
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Rossella Elisei
Rossella Elisei
Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy
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Ugo Fedeli
Ugo Fedeli
Epidemiological Department, Azienda Zero, Padova, Italy
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of the DEPTH Working Group
of the DEPTH Working Group
of the DEPTH Working Group
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Nuclear Medicine Department to perform this treatment. Beginning with the 2006 American Thyroid Association (ATA) guidelines, which were updated in 2009 and 2015, more selective use of RAI has been recommended ( 5 , 6 , 7 ). In 2009, RAI ablation was
Furio Pacini
Furio Pacini
Section of Endocrinology, University of Siena, Siena, Italy
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Dagmar Fuhrer
Dagmar Fuhrer
Department of Endocrinology, Diabetes and Metabolism, West German Cancer Centre (WTZ), University Hospital Essen, University Duisburg-Essen, Essen, Germany
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Rossella Elisei
Rossella Elisei
Section of Endocrinology, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
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Daria Handkiewicz-Junak
Daria Handkiewicz-Junak
Department of Nuclear Medicine and Endocrine Oncology, Maria Skłodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland
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Sophie Leboulleux
Sophie Leboulleux
Gustave Roussy Cancer Campus and University Paris-Saclay, Villejuif, Cedex, France
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Markus Luster
Markus Luster
Department of Nuclear Medicine, University Hospital Marburg, Marburg, Germany
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Martin Schlumberger
Martin Schlumberger
Gustave Roussy Cancer Campus and University Paris-Saclay, Villejuif, Cedex, France
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Johannes W Smit
Johannes W Smit
Radboud University Medical Center, Nijmegen, Netherlands
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-8587(1830113-X ) 8 Haugen BR Alexander EK Bible KC Doherty GM Mandel SJ Nikiforov YE Pacini F Randolph GW Sawka AM Schlumberger M 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and
Carla Gambale
Carla Gambale
Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy
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Alessandro Prete
Alessandro Prete
Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy
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Lea Contartese
Lea Contartese
Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy
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Liborio Torregrossa
Liborio Torregrossa
Department of Surgical, Medical, Molecular Pathology and Critical Area, Anatomic Pathology Section, University Hospital of Pisa, Pisa, Italy
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Francesca Bianchi
Francesca Bianchi
Department of Nuclear Medicine, University Hospital of Pisa, Pisa, Italy
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Eleonora Molinaro
Eleonora Molinaro
Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy
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Gabriele Materazzi
Gabriele Materazzi
Department of Surgical, Medical, Molecular Pathology and Critical Area, Unit of Endocrine Surgery, University Hospital of Pisa, Pisa, Italy
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Rossella Elisei
Rossella Elisei
Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy
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Antonio Matrone
Antonio Matrone
Department of Clinical and Experimental Medicine, Unit of Endocrinology, University Hospital of Pisa, Pisa, Italy
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the disease is detected during the follow-up. According to the suggestions of the most recent ATA 2015 guidelines ( 1 ), the risk of recurrence should be redefined at each clinical control according to clinical, biochemical, and imaging evaluations. If
Grace Segall
Grace Segall
Eli Lilly and Company, Indianapolis, IN, USA
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Ravinder Singh
Ravinder Singh
Eli Lilly and Company, Indianapolis, IN, USA
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Min-Hua Jen
Min-Hua Jen
Eli Lilly and Company, Indianapolis, IN, USA
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Isaac Sanderson
Isaac Sanderson
Adelphi Real World, Bollington, UK
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Alex Rider
Alex Rider
Adelphi Real World, Bollington, UK
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Katie Lewis
Katie Lewis
Adelphi Real World, Bollington, UK
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Urpo Kiiskinen
Urpo Kiiskinen
Eli Lilly and Company, Indianapolis, IN, USA
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). Germline RET mutations are present in up to 10% of patients with apparently sporadic MTCs ( 5 , 10 ). European Society for Medical Oncology (ESMO) guidelines recommend that screening for RET mutations should be strongly considered in all patients with
Andrea Leoncini
Andrea Leoncini
Clinic for Radiology, Imaging Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland
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Chiara Camponovo
Chiara Camponovo
Thyroid Unit, Clinic for Endocrinology and Diabetology, Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland
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Gaetano Paone
Gaetano Paone
Clinic of Nuclear Medicine, Imaging Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland
Faculty of Biomedical Sciences, Università Della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università Della Svizzera Italiana, Lugano, Switzerland
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Elena Gamarra
Elena Gamarra
Thyroid Unit, Clinic for Endocrinology and Diabetology, Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland
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Giorgio Treglia
Giorgio Treglia
Clinic of Nuclear Medicine, Imaging Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland
Faculty of Biomedical Sciences, Università Della Svizzera Italiana, Lugano, Switzerland
Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
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Faculty of Biomedical Sciences, Università Della Svizzera Italiana, Lugano, Switzerland
Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
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Pierpaolo Trimboli
Pierpaolo Trimboli
Thyroid Unit, Clinic for Endocrinology and Diabetology, Ente Ospedaliero Cantonale (EOC), Bellinzona, Switzerland
Faculty of Biomedical Sciences, Università Della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università Della Svizzera Italiana, Lugano, Switzerland
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still recognized as the gold standard for detecting AFTN, authors suggested integrating TS in the TIRADS model to prevent UN-FNACs ( 10 , 12 , 13 ). However, the TIRADS-based strategy was proven highly accurate and guidelines recommend TS only in TN
Marine Sitbon
Marine Sitbon
Pharmacy Department, Hospital Saint-Louis APHP, Paris, France
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Porhuoy Chou
Porhuoy Chou
Endocrine Oncology Department, Saint-Louis Hospital (AP-HP), Université Paris Cité, Paris, France
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Seydou Bengaly
Seydou Bengaly
Endocrine Oncology Department, Saint-Louis Hospital (AP-HP), Université Paris Cité, Paris, France
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Brigitte Poirot
Brigitte Poirot
Department of Molecular Oncology, Saint-Louis Hospital (AP-HP), Université Paris Cité INSERM U 944, CNRS UMR 7212, Paris, France
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Marie Laloi-Michelin
Marie Laloi-Michelin
Department of Internal Medicine, Hospital Lariboisière APHP, Paris, France
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Laure Deville
Laure Deville
Pharmacy Department, Hospital Saint-Louis APHP, Paris, France
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Atanas Pachev
Atanas Pachev
Radiology Department, Saint-Louis Hospital (AP-HP), Université Paris Cité, Paris, France
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Ahouefa Kowo-Bille
Ahouefa Kowo-Bille
Endocrine Oncology Department, Saint-Louis Hospital (AP-HP), Université Paris Cité, Paris, France
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Clement Dumont
Clement Dumont
Medical Oncology Department, Saint-Louis Hospital (AP-HP), Université Paris Cité, Paris, France
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Cécile N Chougnet
Cécile N Chougnet
Endocrine Oncology Department, Saint-Louis Hospital (AP-HP), Université Paris Cité, Paris, France
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illustrates response to selpercatinib in vandetanib-naïve patients. The latest MTC guidelines suggest the benefit of molecular testing in all MTC cases ( 16 ), paving the way toward upfront-targeted treatment with RET-targeted agents. In addition, our case
Jaume Capdevila
Jaume Capdevila
Vall d’Hebron University Hospital, Vall d’Hebron Institute of Oncology (VHIO), IOB Quiron-Teknon, Barcelona, Spain
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Desiree’ Deandreis
Desiree’ Deandreis
Department of Medical Sciences, Nuclear Medicine Unit, University of Turin, AOU Città della Salute e della Scienza, Turin, Italy
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Cosimo Durante
Cosimo Durante
Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy
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Sophie Leboulleux
Sophie Leboulleux
Service of Endocrinology, Diabetology, University Hospital Geneve, Geneve, Switzerland
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Markus Luster
Markus Luster
Department of Nuclear Medicine, University Hospital Marburg, Marburg, Germany
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Romana Netea-Maier
Romana Netea-Maier
Department of Internal Medicine, Division of Endocrinology, Radboud University Medical Center, Nijmegen, The Netherlands
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Kate Newbold
Kate Newbold
Royal Marsden Hospital, London, United Kingdom
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Susanne Singer
Susanne Singer
Institute of Medical Biostatistics Epidemiology and Informatics (IMBEI), University Medical Center of Johannes Gutenberg University, Mainz, Germany
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Gerasimos P Sykiotis
Gerasimos P Sykiotis
Service of Endocrinology, Diabetology and Metabolism, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
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Beate Bartes
Beate Bartes
Association “Vivre sans Thyroïde”, Léguevin, France
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Kate Farnell
Kate Farnell
Butterfly Thyroid Cancer Trust, Rowlands Gill, Tyne & Wear, UK
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Laura Deborah Locati
Laura Deborah Locati
Medical Oncology Unit, IRCCS ICS Maugeri, Pavia, Italy
Department of Internal Medicine and Therapeutics, University of Pavia, Italy
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Department of Internal Medicine and Therapeutics, University of Pavia, Italy
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, location of metastases, and clinical status ( 8 ). A number of societies have issued guidance for the initiation of MKIs; however, their recommendations are not totally uniform. For example, the National Comprehensive Cancer Network guidelines recommend
Inês Damásio
Inês Damásio
Endocrinology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
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Joana Simões-Pereira
Joana Simões-Pereira
Endocrinology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
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Sara Donato
Sara Donato
Endocrinology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
Nova Medical School, Lisbon, Portugal
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Nova Medical School, Lisbon, Portugal
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Mariana Horta
Mariana Horta
Radiology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon Portugal
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Branca Maria Cavaco
Branca Maria Cavaco
Molecular Pathobiology Research Unit (UIPM), Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
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Miguel Rito
Miguel Rito
Pathology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
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Pedro Gomes
Pedro Gomes
Head and Neck Surgery Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
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Valeriano Leite
Valeriano Leite
Endocrinology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
Nova Medical School, Lisbon, Portugal
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Nova Medical School, Lisbon, Portugal
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represent a molecular target for cancer therapy, and the current American Thyroid Association (ATA) ( 4 ) ATC guidelines recommend analysis of somatic fusions in tumors without other candidate driver genes, such as BRAF. Currently, there are two drugs
Benjamin Chevalier
Benjamin Chevalier
Department of Endocrinology, Diabetology and Metabolism, Lille University Hospital, Lille, France
University of Lille, Lille, France
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University of Lille, Lille, France
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Oriane Karleskind
Oriane Karleskind
Department of Pathology, Lille University Hospital, Lille, France
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Arnaud Jannin
Arnaud Jannin
Department of Endocrinology, Diabetology and Metabolism, Lille University Hospital, Lille, France
University of Lille, Lille, France
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University of Lille, Lille, France
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Olivier Farchi
Olivier Farchi
Department of Biochemistry and Molecular Biology, Hormonology Metabolism Nutrition Oncology, Lille University Hospital, Lille, France
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Catherine Vermaut
Catherine Vermaut
Department of Biochemistry and Molecular Biology, Hormonology Metabolism Nutrition Oncology, Lille University Hospital, Lille, France
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Alexandre Escande
Alexandre Escande
Academic Department of Radiation Oncology, Oscar Lambret Comprehensive Cancer Center, Lille, France
CRIStAL UMR CNRS 9189, University of Lille, Villeneuve-d’Ascq, France
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CRIStAL UMR CNRS 9189, University of Lille, Villeneuve-d’Ascq, France
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Clio Baillet
Clio Baillet
Department of Nuclear Medicine, Lille University Hospital, Lille, France
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Stéphanie Espiard
Stéphanie Espiard
Department of Endocrinology, Diabetology and Metabolism, Lille University Hospital, Lille, France
University of Lille, Lille, France
Institut National de la Santé et de la Recherche Médicale (INSERM), European Genomic Institute for Diabetes (EGID), CHU Lille, Lille, France
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University of Lille, Lille, France
Institut National de la Santé et de la Recherche Médicale (INSERM), European Genomic Institute for Diabetes (EGID), CHU Lille, Lille, France
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Marie-Christine Vantyghem
Marie-Christine Vantyghem
Department of Endocrinology, Diabetology and Metabolism, Lille University Hospital, Lille, France
University of Lille, Lille, France
Institut National de la Santé et de la Recherche Médicale (INSERM), European Genomic Institute for Diabetes (EGID), CHU Lille, Lille, France
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University of Lille, Lille, France
Institut National de la Santé et de la Recherche Médicale (INSERM), European Genomic Institute for Diabetes (EGID), CHU Lille, Lille, France
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Bruno Carnaille
Bruno Carnaille
University of Lille, Lille, France
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Emmanuelle Leteurtre
Emmanuelle Leteurtre
University of Lille, Lille, France
Department of Pathology, Lille University Hospital, Lille, France
University of Lille, CNRS, Inserm, CHU Lille, UMR9020-U1277 - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Lille, France
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Department of Pathology, Lille University Hospital, Lille, France
University of Lille, CNRS, Inserm, CHU Lille, UMR9020-U1277 - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Lille, France
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Christine Do Cao
Christine Do Cao
Department of Endocrinology, Diabetology and Metabolism, Lille University Hospital, Lille, France
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(full list available in supplemental data) revealed a likely pathogenic variant (Class 4 according to the ACMG guidelines for the interpretation of sequence variants) in ATM (c.1123 A>T, p.(Arg375*)), resulting in an early stop codon ( 5 ). A variant
