Classification rationale
PM2PM4
VUS
MYC c.212_214dup
PM2 (Supporting): absent from gnomAD v2.1, v4.1, and gnomAD-Canada (observed allele frequency 0). PM4 (Moderate): in-frame 3-nt duplication adds one amino acid (454 to 455) outside repeat regions. Synthesis: 1 moderate + 1 supporting does not meet any ACMG/AMP 2015 Pathogenic or Benign threshold, yielding Variant of Uncertain Significance.
PM2 + PM4
→
VUS