Classification result

DEMO-EC-005

moderate confidence
NSMP

No specific molecular profile. Intermediate prognosis. Diagnosis of exclusion.

Classification path

1 POLE_EDM Negative POLE p.A300T POLE VUS in exonuclease domain — requires secondary evidence for POLEmut classification.
2 MMRd Negative
3 TP53_mutation Negative
4 NSMP Positive

Secondary evidence

TMB

145.0
Discordant TMB 145.0 mut/Mb higher than expected for NSMP (expected <10 mut/Mb).

CNA burden

0.0
Concordant Fraction genome altered: 0.02 — concordant with NSMP (expected low).

Signatures

Concordant Expected signatures: SBS1, SBS5. Present: SBS1.

Clinical notes

Flags

POLE VUS detected: POLE p.A300T. Secondary evidence (TMB >100, SBS10a/b) needed for POLEmut classification.
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