儿科和青少年发红细胞瘤和偏角细胞瘤中的基因型-表型相关性:一个横截面研究
Amanda Seabrook1,2, Anand Vasudevan3, Kristen Neville4,5
1Cancer Genetics Diagnostic Laboratory, Kolling Institute of Medical Research, Sydney, New South Wales, Australia.
在VHL或SDHB的生殖系变异与儿科发红细胞瘤/副质瘤有很强的联系. 早期遗传检测和终身监测对于患有这些罕见瘤的年轻患者至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 是一个遗传学.
- 儿科瘤学 儿科瘤学
背景情况:
- 乳色细胞瘤 (PC) 和副瘤 (PGL) 是一种罕见的神经内分泌瘤.
- 生殖系致病变体显著增加风险和发病率/死亡率.
- 儿科患者的基因型-表型相关性由于罕见而未得到充分确立.
研究的目的:
- 为了阐明儿科和青少年PC/PGL患者的基因型-表型相关性.
- 为了确定PC/PGL在年轻人的发病率.
- 评估这个队列中生殖系病原性变异的流行率.
主要方法:
- 对0-21岁的患者进行横截面研究,诊断出PC/PGL.
- 在新南威尔士州和澳大利亚ACT州的家庭癌症服务中对患者进行了审查.
- 对生殖线致病变体和相关临床表现的分析.
主要成果:
- 在80%的患者中检测到生殖系致病变体 (SDHB:12,VHL:11,MAX:1).
- VHL和SDHB变种与儿童和青少年的PC/PGL有很强的关联.
- 儿科PC/PGL发病率为每百万人年0.45.
结论:
- 儿科PC/PGL与生殖线VHL或SDHB致病变体高度相关.
- 建议向专业服务提供遗传咨询和测试.
- 终身监测对于早期发现复发或转移性疾病至关重要.
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