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Kristen Wong Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA

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Francesca Di Cristofano Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA

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Michela Ranieri Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA

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Daniela De Martino Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA

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Antonio Di Cristofano Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, USA

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the cell cycle into the S phase is controlled by complexes formed by D-type cyclins and the CDK4 and CDK6 kinases, which phosphorylate and inactivate the RB tumor suppressor. In turn, RB inactivation releases the E2F transcription factors to promote

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Chellappagounder Thangavel Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of
Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of

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Jeffry L Dean Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of
Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of

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Adam Ertel Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of
Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of

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Karen E Knudsen Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of
Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of

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C Marcelo Aldaz Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of

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Agnieszka K Witkiewicz Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of

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Robert Clarke Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of
Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of

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Erik S Knudsen Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of
Kimmel Cancer Center, Cancer Biology, Pathology, Department of Carcinogenesis, Lombardi Cancer Center, Department of Oncology and Physiology and Biophysics, Philadelphia, Pennsylvania 19107, USA Departments of

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such, inhibition of CDK activity results in the maintenance of the retinoblastoma tumor suppressor protein (RB) in a hypophosphorylated and active state ( Watts et al . 1995 ). In its hypophosphorylated state, RB serves to repress E2F-regulated genes

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Toru Tateno Department of Medicine, The Endocrine Oncology Site Group, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada

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Tae Nakano-Tateno Department of Medicine, The Endocrine Oncology Site Group, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada

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Shereen Ezzat Department of Medicine, The Endocrine Oncology Site Group, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada

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Sylvia L Asa Department of Pathology, The Endocrine Oncology Site Group, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada

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, the sustentacular cells of the adenohypophysis, yet our data unmask a novel dispensable role for Rb in those cells. Materials and methods Generation of constitutive NG2 cell-specific pRb conditional knockout mice For constitutive deletion

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Roeliene C Kruizinga Departments of Medical Oncology, Endocrinology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

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Wim J Sluiter Departments of Medical Oncology, Endocrinology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

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Elisabeth G E de Vries Departments of Medical Oncology, Endocrinology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

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Bernard A Zonnenberg Departments of Medical Oncology, Endocrinology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

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Cornelis J Lips Departments of Medical Oncology, Endocrinology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

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Anouk N A van der Horst-Schrivers Departments of Medical Oncology, Endocrinology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

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Annemiek M E Walenkamp Departments of Medical Oncology, Endocrinology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

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Thera P Links Departments of Medical Oncology, Endocrinology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

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Weiss GH Alexander RB Hayes WS Long JP Thakore KN Linehan WM 1992 The natural history of renal lesions in von Hippel–Lindau disease: a serial CT study in 28 patients . AJR. American Journal of Roentgenology 159 1229 – 1234 . ( doi:10.2214/ajr.159

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Julien Hadoux Oncologie Endocrinienne, Département d’Imagerie, Gustave Roussy, Villejuif, France

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Thomas Walter Service d’Oncologie, ENETS Centre of Excellence, Hospices Civils de Lyon et Université de Lyon, Lyon, France

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Christina Kanaan Service de Pathologie, Département de Biologie et Pathologie Médicale, Gustave Roussy, Villejuif, France

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Ségolène Hescot Département d’Oncologie, Institut Curie, Paris, France

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Vincent Hautefeuille Service d’Hépato-gastro-entérologie et Cancérologie Digestive, CHU Amiens Picardie, Amiens, France

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Marine Perrier Département d’Hépato-gastro-entérologie, CHU de Reims, Reims, France

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Igor Tauveron Service d'Endocrinologie, Diabétologie et Maladies Métaboliques, CHU Clermont-Ferrand, Clermont-Ferrand, France
Laboratoire GReD, Université Clermont Auvergne, Clermont-Ferrand, France

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Sandrine Laboureau Département d’Endocrinologie-Diabétologie-Nutrition, CHU d’Angers, Angers Cedex 9, France

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Christine Do Cao CHU de Lille, Service d’Endocrinologie, Lille, France

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Caroline Petorin CHU Clermont-Ferrand, Service de Chirurgie Digestive et Hépatobiliaire, Clermont-Ferrand, France

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Odile Blanchet CRB, CHU d’Angers, Angers Cedex 9, France

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Matthieu Faron Département de Chirurgie, Gustave Roussy, Villejuif, France

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Emmanuelle Leteurtre CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Université de Lille, CNRS, Inserm, CHU Lille, UMR9020-U1277, Lille, France

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Marie-Christine Rousselet Département de Pathologie, CHU d’Angers, Angers Cedex 9, France

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Juliette Joubert Zakeyh Laboratoire d’Anatomie Pathologique, CHU Clermont-Ferrand, Clermont-Ferrand, France

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Aude Marchal Service d’Anatomo-Pathologie, CHU Reims, Reims, France

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Denis Chatelain Service d’Anatomo-Pathologie, CHU Amiens, Amiens, France

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Clément Beaulaton Service d’Anatomo-Pathologie, Institut Curie, Paris, France

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Valérie Hervieu Service d’Anatomo-Pathologie, ENETS Centre of Excellence, Hospices Civils de Lyon et Université de Lyon, Lyon, France

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Catherine Lombard-Bohas Service d’Oncologie, ENETS Centre of Excellence, Hospices Civils de Lyon et Université de Lyon, Lyon, France

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Michel Ducreux Service d’Oncologie Digestive, Département de Médecine, Gustave Roussy, Villejuif, France
Faculté de Médecine, Université Paris Saclay, Le Kremlin-Bicêtre, France

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Jean-Yves Scoazec Service de Pathologie, Département de Biologie et Pathologie Médicale, Gustave Roussy, Villejuif, France
Faculté de Médecine, Université Paris Saclay, Le Kremlin-Bicêtre, France

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Eric Baudin Oncologie Endocrinienne, Département d’Imagerie, Gustave Roussy, Villejuif, France

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the Groupe d’Etude des Tumeurs Endocrines (GTE)
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the ENDOCAN-RENATEN network
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they have shown efficacy in NEC, especially SCLC, EBR, topotecan, CAV (cyclophosphamide, adriamycin and vincristine) and alkylating-based chemotherapy, for example. Recently, concurrent reports have suggested that RB transcriptional corepressor 1 (RB1

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Carol A Lange Departments of Medicine and Pharmacology, Masonic Cancer Center, University of Minnesota, 420 Delaware Street South East, MMC 806, Minneapolis Minnesota 55455, USA

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Douglas Yee Departments of Medicine and Pharmacology, Masonic Cancer Center, University of Minnesota, 420 Delaware Street South East, MMC 806, Minneapolis Minnesota 55455, USA

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Endocrine-Related Cancer suggests an effective means of targeting loss of cell cycle control in endocrine-resistant breast cancers. These investigators noted that a unique gene signature indicative of retinoblastoma (RB) protein loss of function could

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Andreas Venizelos K.G. Jebsen Center for Genome-Directed Cancer Therapy, Department of Clinical Science, University of Bergen, Bergen, Norway
Department of Oncology, Haukeland University Hospital, Bergen, Norway

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Hege Elvebakken Department of Oncology, Ålesund Hospital, Møre og Romsdal Hospital Trust, Ålesund, Norway
Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway

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Aurel Perren Institute of Pathology, University of Bern, Bern, Switzerland

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Oleksii Nikolaienko K.G. Jebsen Center for Genome-Directed Cancer Therapy, Department of Clinical Science, University of Bergen, Bergen, Norway
Department of Oncology, Haukeland University Hospital, Bergen, Norway

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Wei Deng K.G. Jebsen Center for Genome-Directed Cancer Therapy, Department of Clinical Science, University of Bergen, Bergen, Norway
Department of Oncology, Haukeland University Hospital, Bergen, Norway

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Inger Marie B Lothe Department of Pathology, Oslo University Hospital, Oslo, Norway

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Anne Couvelard Department of Pathology, Université de Paris, Bichat Hospital, AP-HP, Paris, France

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Geir Olav Hjortland Department of Oncology, Oslo University Hospital, Oslo, Norway

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Anna Sundlöv Departmentt of Oncology, Skåne University Hospital, Lund, Sweden
Department of Medical Radiation Physics, Lund University, Lund, Sweden

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Johanna Svensson Department of Oncology, Sahlgrenska University Hospital, Gothenburg, Sweden

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Harrish Garresori Department of Oncology, Stavanger University Hospital, Stavanger, Norway

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Christian Kersten Department of Research, Hospital of Southern Norway, Kristiansand, Norway

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Eva Hofsli Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
Department of Oncology, St.Olavs Hospital, Trondheim, Norway

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Sönke Detlefsen Department of Pathology, Odense University Hospital, Odense, Denmark
Department of Clinical Medicine, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark

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Merete Krogh Department of Oncology, Odense University Hospital, Odense, Denmark

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Halfdan Sorbye Department of Oncology, Haukeland University Hospital, Bergen, Norway
Department of Clinical Science, University of Bergen, Bergen, Norway

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Stian Knappskog K.G. Jebsen Center for Genome-Directed Cancer Therapy, Department of Clinical Science, University of Bergen, Bergen, Norway
Department of Oncology, Haukeland University Hospital, Bergen, Norway

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( Brennan et al. 2010 , Dasari et al. 2018 ). Regarding potential biomarkers, the benefit of platinum-based treatment for pancreatic NEN G3 has been reported to depend on KRAS mutations and loss of RB1 ( Hijioka et al. 2017 ) and studies on NEC

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T P Links
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K M van Tol
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P L Jager
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J Th M Plukker
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D A Piers
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H M Boezen
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R P F Dullaart
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E G E de Vries
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W J Sluiter
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In differentiated thyroid carcinoma 10-year survival rates amount to 80–95%. Because age at diagnosis varies widely, these survival rates strongly depend on age at presentation. The aim of the present study was to analyse the attributable risk factors, including therapy per se, on survival in thyroid cancer after proper adjustment for the baseline mortality rate in the general population and to elucidate the adverse treatment effects on survival. Initial treatment in 504 patients consisted of thyroidectomy and 131I ablation. High-dose 131I was administered for residual disease. Patients in complete remission underwent an annual physical examination and thyroglobulin measurements during TSH suppression. Survival time was studied after transformation to standardised survival time to adjust for the baseline mortality rate in the general population.

Median follow-up since diagnosis was 9 years. The 10-year overall survival was 83% and disease-specific survival 91%. After initial treatment, persistent disease occurred in 75 patients (15%). In univariate analysis, T4, N1, M1 status and Hürthle cell type were prognostic for persistent and recurrent disease. Age was not prognostic for recurrent disease in multivariate analysis. The standardised survival time was not altered in disease-free patients. However, patients with persistent disease had a median standardised survival time of only 0.60 (95% confidence interval 0.47;0.72), ranging from 0 to above 1, independent of initial tumour status or age. The cumulative proportion of persistent disease was at least 20% of the whole group.

Disease-free patients after thyroid carcinoma have a normal residual life span. In contrast, in cases of persistent disease the life expectancy ranges widely with its median being reduced to 60%. Overall, treatment including radioiodine is safe but unsuccesful in 20% of the patients. Age is not a disease-specific risk factor and should not be used as an independent factor in treatment algorithms.

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Mairéad G McNamara Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester, UK
Division of Cancer Sciences, University of Manchester, Manchester, UK

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Jean-Yves Scoazec Department of Pathology, Gustave Roussy Cancer Campus, Villejuif, France
Université Paris Sud, Faculté de Médecine de Bicêtre, Le Kremlin-Bicêtre, France

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Thomas Walter Department of Gastroenterology and Medical Oncology, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France

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-dependent helicase ATRX (ATRX) protein expression defined well differentiated NETs and abnormal p53, Rb and SMAD4 expression signified poorly differentiated NEC ( Tang et al . 2016 ). The disease-specific survival reported was 75 months and 11 months for the well

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Thomas Yang Sun Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA

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Lan Zhao Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA

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Paul Van Hummelen Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA

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Brock Martin Department of Pathology, Stanford University School of Medicine, Stanford, California, USA

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Kathleen Hornbacker Clinical Trials Office, Stanford University, Stanford, California, USA

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HoJoon Lee Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA

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Li C Xia Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA
Division of Biostatistics, Department of Epidemiology and Public Health, Albert Einstein College of Medicine, Bronx, New York, USA

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Sukhmani K Padda Cedars-Sinai Medical Center, Department of Medical Oncology, Los Angeles, California, USA

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Hanlee P Ji Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA
Stanford Genome Technology Center, Stanford, California, USA

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Pamela Kunz Yale School of Medicine, Smilow Cancer Hospital, Yale Cancer Center, New Haven, Connecticut, USA

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organs with paired clinical outcome data. Our analysis revealed that G3 NENs had gene expression profiles that did not easily segregate by organ, that they shared mutations in TP53 , RB1 , APC , CDKN2A , and in the CDK4/6 cell cycling pathway, and

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