“…Other candidate genes with potentially pathogenic germline variants reported in patients with MSI/dMMR tumors (without germline MMR gene mutations) include MSH3 , EXO1, FAN1 , MLH3 , POLD1 , RFC1 , RPA1, SETD2 , BUB1 , BARD1 , WRN , MCPH1 , and REV3L [ 214 , 215 , 216 , 217 , 218 ]. MSH3 biallelic variants leading to MSH3 deficiency are associated with the microsatellite instability of di- and tetranucleotides (EMAST, Elevated Microsatellite instability at Selected Tetranucleotide Repeats) [ 214 ] but the stability of mononucleotide repeats.…”