Appendiceal Adenocarcinoma (AA) is a rare gastrointestinal cancer with no FDA-approved targeted therapies. Here, we retrospectively compare BRAF-mutant AA and colorectal cancer (CRC). BRAF mutation is rare in AA (3%). Unlike CRC, BRAF AA is not associated with poor prognosis, female sex, microsatellite instability, mucinous histology, or poor differentiation. In both cancers, BRAF but not atypical BRAF mutations are mutually exclusive with other Ras-activating mutations. BRAF + EGFR inhibition shows efficacy in BRAF AA (disease control rate = 80%, median progression-free survival = 7.1 months).

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799341PMC
http://dx.doi.org/10.1038/s41698-025-00821-zDOI Listing

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