Transient 'NeoBRAF wild type' state in a patient with BRAFV600E mutant metastatic colorectal cancer

Cytopathology. 2024 Nov;35(6):671-673. doi: 10.1111/cyt.13429. Epub 2024 Jul 31.

Abstract

We report the case of a patient with a BRAFV600E mutant mCRC, with evidence of acquired 'NeoBRAF wild-type' (wt) state. The patient, longitudinally assessed by liquid biopsy, obtained a remarkable clinical outcome with a multimodal approach including surgery, systemic treatment and targeted therapy. In patients with newly diagnosed RAS and BRAFV600E mutant mCRC, longitudinal assessment with liquid biopsy is not routinely used in clinical practice. We report the case of a patient with a BRAFV600E mutant mCRC, with evidence of acquired 'neoBRAF wild-type' (wt) state. The patient obtained a remarkable clinical outcome and has been longitudinally assessed by liquid biopsy.

Keywords: BRAFV600E; NeoBRAF wild type; ctDNA; mCRC.

Publication types

  • Case Reports

MeSH terms

  • Colorectal Neoplasms* / diagnosis
  • Colorectal Neoplasms* / genetics
  • Colorectal Neoplasms* / pathology
  • Female
  • Humans
  • Liquid Biopsy
  • Male
  • Middle Aged
  • Mutation* / genetics
  • Neoplasm Metastasis
  • Proto-Oncogene Proteins B-raf* / genetics

Substances

  • Proto-Oncogene Proteins B-raf
  • BRAF protein, human