胚胎检测中的二次发现:咨询和监视考虑
Catherine M Skefos1, Pamela L Brock2, Erica Blouch3
1The University of Texas MD Anderson Cancer Center, Clinical Cancer Genetics Program, Houston, Texas, USA.
Endocrine oncology (Bristol, England)
|May 21, 2024
概括
遇到二次苏辛酸脱酶复杂亚单元A (SDHA) 致病变体 (PVs) 需要谨慎的临床管理. 本评论讨论了基因测试中的这些偶然发现的咨询,监测和决策.
科学领域:
- 临床遗传学 临床遗传学
- 在瘤学瘤学.
- 基因咨询 基因咨询
背景情况:
- 生殖线多基因小组测试正在增加,导致病原性变体 (PV) 的二次发现更多.
- 顺酸脱酶复杂子单元A (SDHA) 的PV越来越多地被偶然地确定.
- 这些发现对临床医生管理没有SDHA相关瘤的个人或家族病史的患者提出了挑战.
研究的目的:
- 探索二级SDHA PVs管理的复杂性.
- 讨论关于SDHA PV透率和查指南的当前数据.
- 为患者教育,共享决策和未来研究提供建议.
主要方法:
- 基于对当前文献和临床指南的审查的评论.
- 对SDHA PVs的透率数据的讨论.
- 为临床医生制定实际建议.
主要成果:
- 对于SDHA PVs的现有指南可能是有限的.
- 需要更好地了解SDHA光伏透率.
- 临床医生需要在辅导和管理患有二次SDHA发现的患者方面得到支持.
结论:
- 管理二级SDHA PVs需要一个细微的方法,承认数据的局限性.
- 共享决策和专家推对于最佳的患者护理至关重要.
- 对SDHA透性的持续研究是必要的,以完善监控策略.
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