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The molecular underpinning of breast <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content> other than the <jats:italic><jats:styled-content style=\"fixed-case\">MYB\u2013NFIB<\/jats:styled-content><\/jats:italic> fusion gene remains largely unexplored. Here we sought to define the repertoire of somatic genetic alterations of breast <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content>. We performed whole\u2010exome sequencing, followed by orthogonal validation, of 12 breast <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content> to determine the landscape of somatic mutations and gene copy number alterations. Fluorescence <jats:italic>in situ<\/jats:italic> hybridization and reverse\u2010transcription <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content> were used to define the presence of <jats:italic><jats:styled-content style=\"fixed-case\">MYB<\/jats:styled-content><\/jats:italic> gene rearrangements and <jats:italic><jats:styled-content style=\"fixed-case\">MYB\u2013NFIB<\/jats:styled-content><\/jats:italic> chimeric transcripts. Unlike common forms of <jats:styled-content style=\"fixed-case\">TNBC<\/jats:styled-content>, we found that <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content> have a low mutation rate (0.27 non\u2010silent mutations\/Mb), lack mutations in <jats:italic><jats:styled-content style=\"fixed-case\">TP53<\/jats:styled-content><\/jats:italic> and <jats:italic><jats:styled-content style=\"fixed-case\">PIK3CA<\/jats:styled-content><\/jats:italic> and display a heterogeneous constellation of known cancer genes affected by somatic mutations, including <jats:italic><jats:styled-content style=\"fixed-case\">MYB<\/jats:styled-content><\/jats:italic>, <jats:italic><jats:styled-content style=\"fixed-case\">BRAF<\/jats:styled-content><\/jats:italic>, <jats:italic><jats:styled-content style=\"fixed-case\">FBXW7<\/jats:styled-content><\/jats:italic>, <jats:italic><jats:styled-content style=\"fixed-case\">SMARCA5<\/jats:styled-content><\/jats:italic>, <jats:italic><jats:styled-content style=\"fixed-case\">SF3B1<\/jats:styled-content><\/jats:italic> and <jats:italic><jats:styled-content style=\"fixed-case\">FGFR2<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">MYB<\/jats:styled-content><\/jats:italic> and <jats:italic><jats:styled-content style=\"fixed-case\">TLN2<\/jats:styled-content><\/jats:italic> were affected by somatic mutations in two cases each. Akin to salivary gland <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content>, breast <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content> were found to harbour mutations targeting chromatin remodelling, cell adhesion, <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content> biology, ubiquitination and canonical signalling pathway genes. We observed that, although breast <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content> had rather simple genomes, they likely display intra\u2010tumour genetic heterogeneity at diagnosis. Taken together, these findings demonstrate that the mutational burden and mutational repertoire of breast <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content> are more similar to those of salivary gland <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content> than to those of other types of <jats:styled-content style=\"fixed-case\">TNBCs<\/jats:styled-content>, emphasizing the importance of histological subtyping of <jats:styled-content style=\"fixed-case\">TNBCs<\/jats:styled-content>. Furthermore, our data provide direct evidence that <jats:styled-content style=\"fixed-case\">AdCCs<\/jats:styled-content> harbour a distinctive mutational landscape and genomic structure, irrespective of the disease site of origin. Copyright \u00a9 2015 Pathological Society of Great Britain and Ireland. Published by John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/path.4573","type":"journal-article","created":{"date-parts":[[2015,6,19]],"date-time":"2015-06-19T19:49:31Z","timestamp":1434743371000},"page":"179-189","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":149,"title":["Genomic landscape of adenoid cystic carcinoma of the breast"],"prefix":"10.1002","volume":"237","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9625-1183","authenticated-orcid":false,"given":"Luciano G","family":"Martelotto","sequence":"first","affiliation":[{"name":"Department of Pathology Memorial Sloan Kettering Cancer Center  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria R","family":"De Filippo","sequence":"additional","affiliation":[{"name":"Department of Pathology Memorial Sloan Kettering Cancer Center  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte 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