DICER1 and neoplasm: Given the lack of large, unselected studies of these neoplasms, the VCEP elected to independently survey six clinical experts from the VCEP to categorize the phenotypes as high-specificity (much more likely than not to have a germline P/LP DICER1 variant), moderate-specificity (more likely than not to have a germline P/LP DICER1 variant), and low-specificity (less likely to have a germline P/LP DICER1 variant).