We consider that it is very unlikely that this has influenced the results as samples are taken only when the tumour is at a site distant to the tendon and the tendon is macroscopically normal; however, we cannot rule out the possibility that some of the genes showing high expression, such as metastasis associated lung adenocarcinoma transcript 1 (MALAT1), ANGPITL7, and S100A6, are related to the disease state. This evidence concerns the gene MALAT1 and neoplasm.