Nature Research, Nature Genetics, 10(47), p. 1194-1199, 2015
DOI: 10.1038/ng.3382
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Desmoplastic melanoma is an uncommon variant of melanoma with sarcomatous histology, distinct clinical behavior and unknown pathogenesis –3. We performed low-coverage genome and high-coverage exome sequencing of 20 desmoplastic melanomas, followed by targeted sequencing of 293 genes in a validation cohort of 42 cases. A high mutation burden (median of 62 mutations/Mb) ranked desmoplastic melanoma among the most highly mutated cancers 4. Mutation patterns strongly implicate ultraviolet radiation as the dominant mutagen 5 , indicating a superficially located cell of origin. Newly identified alterations included recurrent promoter mutations of NFKBIE, encoding NF-B inhibitor (IB), in 4.5% of samples. Common oncogenic mutations in melanomas, in particular in BRAF (encoding p.Val600Glu) and NRAS (encoding p.Gln6Lys or p.Gln6Arg), were absent.