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        <datestamp>2026-09-25T10:02:27Z</datestamp>
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          <dc:title>Table 1_Case Report: DICER1 mutation-associated anaplastic sarcoma of the kidney in a child.docx</dc:title>
          <dc:creator>Meng Li (79487)</dc:creator>
          <dc:creator>Guoqian He (14155011)</dc:creator>
          <dc:creator>Xia Guo (486444)</dc:creator>
          <dc:creator>Ju Gao (160939)</dc:creator>
          <dc:creator>Cheng-qi Shen (21390662)</dc:creator>
          <dc:subject>Oncology and Carcinogenesis not elsewhere classified</dc:subject>
          <dc:subject>anaplastic sarcoma of the kidney</dc:subject>
          <dc:subject>case report</dc:subject>
          <dc:subject>childhood cancer</dc:subject>
          <dc:subject>DICER1 mutation</dc:subject>
          <dc:subject>renal sarcoma</dc:subject>
          <dc:description>&lt;p&gt;DICER1 syndrome is a hereditary tumor predisposition syndrome caused by pathogenic germline variants in DICER1 and is characterized by multi-organ susceptibility; sarcomas remain uncommon within this spectrum. We report a 2-year-old girl with anaplastic sarcoma of the kidney (ASK). Molecular testing identified a germline DICER1 c.3300dupA frameshift variant (p.S1101Ifs*3), inherited from her father, and a tumor-associated c.5125G&gt;A missense variant (p.D1709N). The child had neonatal hypothyroidism and language developmental delay. She underwent complete tumor resection followed by 27 weeks of chemotherapy using a Stage I clear cell sarcoma of the kidney (CCSK)-based regimen. At the most recent follow-up, she was 3 years off therapy with no evidence of tumor recurrence or distant metastasis. This case adds to the limited clinicopathologic and molecular descriptions of DICER1-associated ASK and supports integrated histopathologic and molecular evaluation, familial DICER1 assessment, genetic counseling, and long-term syndrome-directed surveillance.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-25T10:02:27Z</dc:date>
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          <dc:identifier>10.3389/fonc.2026.1863816.s001</dc:identifier>
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