Supplemental Digital Content 1. Next Generation Sequencing Strategy and Method. Design of T-Cell Lymphoma Panel (TCLP) A next generation sequencing mutation panel was designed to target hotspot mutations in 38 genes on the JAK/STAT or other signaling pathways or previously found to be mutated in T-cell lymphomas using AmpliSeq Designer (Life Technologies). Two custom primer pools contained a total of 227 amplicons. DNA Samples The paraffin-embedded tissue sections were macrodissected to enrich to at least 20% tumor content. DNA was extracted using the Qiagen QIAamp DNA FFPE Tissue Kit on a QIAcube according to the instructions of the manufacturer. Targeted Amplicon Library Preparation AmpliSeq PCR reaction was conducted with Ion AmpliSeq Library Kit 2.0 in a total volume of 10 ul containing 2 ul 5x Ion AmpliSeq HiFi Mix, 5 ul 2x TCLP primer pool, and 12 ng gDNA template. Two reactions were run with separate primer pools for each DNA sample for 22-24 cycles. Sequencing libraries were prepared from the combined amplified DNA by partial digestion of primer sequences, ligation of adapters, and assignment of unique barcodes. Libraries were quantitated using a ViiA7 real-time PCR system. Emulsion PCR and Sequencing Four libraries were pooled together and placed into an Ion Chef system, which automates emulsion PCR and chip loading steps for subsequent NGS sequencing. The sequencing was performed on the PGM with the Ion PGM Sequencing 200 v2 IC Kit. Data Analysis Mutation analysis was carried out with Ion variantCaller (v4.2), and confirmed using Integrative Genomics Viewer (IGV). The variant annotation and interpretation were performed in cloud-based Ion Reporter (v4.2). Supplemental Digital Content 2. Table of Genes Included in the Sequencing Panel BRAF CCR4 CD247 (CD3 -zeta) CD3D CD3E CD3G DNMT3A EZH2 FBXW7 FYN GNB1 HRAS IDH1 IDH2 IL6ST IL7R JAK1 JAK2 JAK3 KRAS LCK MYD88 NOTCH1 NRAS PIK3CA PIK3CD PLCG1 PTPN1 PTPN2 RHOA SOCS1 STAT3 STAT5A STAT5B SYK TET2 TYK2 ZAP70