Molecular Characterization of Ductal Carcinoma in Situ: Pilot Studies Neil Bipinchandra Desai Yale University

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Molecular Characterization of Ductal Carcinoma in Situ: Pilot Studies Neil Bipinchandra Desai Yale University Yale University EliScholar – A Digital Platform for Scholarly Publishing at Yale Yale Medicine Thesis Digital Library School of Medicine 2010 Molecular Characterization of Ductal Carcinoma In Situ: Pilot Studies Neil Bipinchandra Desai Yale University Follow this and additional works at: http://elischolar.library.yale.edu/ymtdl Part of the Medicine and Health Sciences Commons Recommended Citation Desai, Neil Bipinchandra, "Molecular Characterization of Ductal Carcinoma In Situ: Pilot Studies" (2010). Yale Medicine Thesis Digital Library. 153. http://elischolar.library.yale.edu/ymtdl/153 This Open Access Thesis is brought to you for free and open access by the School of Medicine at EliScholar – A Digital Platform for Scholarly Publishing at Yale. It has been accepted for inclusion in Yale Medicine Thesis Digital Library by an authorized administrator of EliScholar – A Digital Platform for Scholarly Publishing at Yale. For more information, please contact [email protected]. Molecular Characterization of Progression in Ductal Carcinoma In Situ: Pilot Studies A Thesis Submitted to the Yale University School of Medicine in Partial Fulfillment of the Requirements of the Degree of Doctor of Medicine by Neil Desai 2010 ! "! Abstract MOLECULAR CHARACTERIZATION OF PROGRESSION IN DUCTAL CARCINOMA IN SITU: PILOT STUDIES Neil B. Desai,1 Arun Gopinath,1 Sebastian Szpakowski,1 Rajini Haraksingh,3 Veerle Bossuyt,1 Michael O. Krauthammer,1 David Tuck,1 Donald R. Lannin,2 and David F. Stern.1 1Department of Pathology, Yale University, School of Medicine, New Haven, CT. 2Department of Surgery, Yale University, School of Medicine. 3Department of Genetics, Stanford University, Palo Alto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cknowledgements This work was funded by a grant from the Susan G. Komen Foundation and the thesis candidate’s research fellowship from the Howard Hughes Medical Institute. It was performed with the mentorship and guidance of the candidate’s principal investigator David F. Stern, Ph.D and the members of his laboratory, including in no order: Maureen Gilmore-Hebert Ph.D, Alexandra Teixeira, Christina Zito Ph.D, Kathleen Wilson, Jerrica Breindel, Kathryn Tworkoski, Kerry Williams, and Rahul Dalal. Notable collaborators involved in the project were David Rimm M.D. and his laboratory including Arun Gopinath M.D. and Seema Agarwal Ph.D, Fatteneh Tavassoli M.D., Veerle Bossuyt M.D., Lyndsay Harris M.D. and her laboratory including Kyle Halligan and Kimberly Lezon-Geyda Ph.D., Donald Lannin M.D., Director of the Breast Cancer Center at Yale, Ruth Halaban Ph.D, Mario Sznol M.D., Michael Krauthammer M.D., Ph.D and his lab including Sebastian Szpakowski, James B. Hicks Ph.D and his laboratory at Cold Spring Harbor , and David Tuck M.D and his laboratory including Vince Schulz. Other collaborators were Michael Snyder Ph.D and his lab now at Stanford University including Rajini Haraksingh. This work is also thankful for the support of the Office of Student Research at Yale University School of Medicine, including Dr. John Forrest, Donna Carranzo, and Mae Geter. Finally, this thesis candidate’s work on this study and otherwise is as always indebted to those relatives, especially parents, and friends who have supported and enabled his goals. ! V! Table of Contents !"#$%&'(#)%"****************************************************************************************************************************** +! ,%"#-.#'/0123-$3)-4************************************************************************************************************************+! 5)%0%671%819'(#/01,/$()"%:/1!"1;)#'********************************************************************************************<! #/01!/(,37(8!W737-;(73!0+:'3*:7!#*37'37!,+!'!L,(7%$(')!X7:7( ================================================Y! #/01!*3!L,(7%$(')(8!#*3&*+%&!>),-!X733!Z6:'+%76!O)7%$)3,)3=====================================================[! =%&-0>1%81?$%6$->>)%"1%819,!;1#%1!"3/>)3-19)>-/>- ************************************************************ @A! 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