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MYD88 L265P found in ~5-10% of MZL (more in lymphoplasmacytoid variants; rare in classic...

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

IDBMA-MYD88-L265P-SPLENIC-MZL
TypeActionability
Statusreviewed 2026-04-27 | pending_clinical_signoff | actionability review required
DiseasesDIS-SPLENIC-MZL
SourcesSRC-BSH-MZL-2024 SRC-CIVIC SRC-ESMO-MZL-2024 SRC-NCCN-BCELL-2025

Actionability Facts

BiomarkerBIO-MYD88-L265P
VariantL265P
DiseaseDIS-SPLENIC-MZL
ESCAT tierIIIA
Recommended combinationsibrutinib (off-label R/R MZL), zanubrutinib (FDA-approved R/R MZL — not MYD88-selected)
Evidence summaryMYD88 L265P found in ~5-10% of MZL (more in lymphoplasmacytoid variants; rare in classic SMZL/NMZL). Suggests overlap with WM biology and supports BTKi consideration in R/R disease (off-label).

Notes

ESCAT IIIA. Zanubrutinib has tissue-agnostic MZL approval (MAGNOLIA) regardless of MYD88 status.

Used By

No reverse references found in the YAML corpus.