对于瘤仅体突变检测中发现的癌症变异,不应忽视生殖线潜力
Mohammad Al-Shinnag1, Pak Leng Cheong2, Annabel Goodwin3
1Department of Medical Genomics, Royal Prince Alfred Hospital, Camperdown NSW, Australia; Institute of Precision Medicine and Bioinformatics, Sydney Local Health District, Camperdown, NSW, Australia; New South Wales Health Pathology (East), NSW, Australia; Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Pathology
|April 16, 2024
概括
瘤DNA测序可以检测出体质和生殖系变异. 鉴定生殖系癌症倾向变体对患者管理和家族癌症风险有重大影响,需要谨慎的报告协议.
科学领域:
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
- 分子诊断学 分子诊断
背景情况:
- 瘤DNA测序是固体癌症的标准,可以识别具有治疗意义的体质变异.
- 瘤测序也可以检测出生殖系变异,包括与癌症倾向综合征 (CPS) 相关的变异.
- 区分体质与生殖系变异对于患者管理和家庭风险评估至关重要.
研究的目的:
- 讨论在瘤测序过程中发现的生殖系致病变体的识别和报告的临床,技术和伦理挑战.
- 突出检测生殖系变异对改变癌症管理和家族风险的重要性.
- 参考国家癌症倾向综合征和生殖线确认指南.
主要方法:
- 对瘤DNA测序中的临床,技术和伦理考虑的审查.
- 在体癌基因组内对生殖系变体鉴定的讨论.
- 参考有关癌症倾向综合征的现有国家指南 (eviQ).
主要成果:
- 瘤测序在区分体质与生殖系变异方面存在挑战.
- 精确识别生殖系变异会影响患者的治疗,监测和家庭遗传咨询.
- 澳大利亚有国家指导方针来支持澳大利亚的病理学实验室关于生殖线发现的研究.
结论:
- 通过瘤测序识别生殖系变异需要仔细的临床,技术和伦理考虑.
- 生殖线发现显著影响患者护理,遗传性癌症风险评估和家庭成员查.
- 遵守国家指导方针对于一致和适当报告生殖线发现至关重要.
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