带有五种恶性瘤的BRCA2生殖系突变携带者:一个病例报告
Elena Su1, Yann Christinat2, Thomas McKee3
1Department of Gynecology, Cantonal Hospital St. Gallen, Rorschacher Strasse 95, St. Gallen, 9007, Switzerland.
Hereditary cancer in clinical practice
|December 20, 2024
概括
生殖系BRCA2突变可以导致罕见且多样化的癌症谱,可能延迟诊断. 对于具有强烈癌症家族史的个人,建议使用综合面板进行早期遗传测试.
科学领域:
- 在瘤学瘤学.
- 遗传学 遗传学是一种遗传学.
- 癌症倾向症候群 癌症倾向症候群
背景情况:
- BRCA2生殖系突变与各种癌症有关,包括乳腺癌,卵巢癌,胰腺癌和前列腺癌,与黑色素瘤有潜在的关联.
- 与BRCA2突变相关的瘤的完整范围,特别是当其他遗传突变存在时,仍然在很大程度上未被探索.
研究的目的:
- 为了突出BRCA2生殖系突变的患者中不寻常的瘤谱.
- 强调诊断挑战和综合基因检测在遗传性癌症倾向方面的重要性.
主要方法:
- 一个70岁的女性患有病原性BRCA2c.5946del变异的病例报告.
- 15年的详细病史,记录了多个独立的癌症诊断.
- 扩展生殖系和瘤分子分析,包括APC变体和HRD状态.
主要成果:
- 患者患有两种乳腺癌,脂肉瘤,细胞癌和骨髓增殖性瘤.
- 在BRIP1和ATR中确定了同时存在的APC变异和未知意义的变异.
- 瘤分子形状显示了HRD状态和副本数量变化的明显差异.
结论:
- 致病性BRCA2 c.5946del变异与异型瘤谱有关,导致遗传性癌症倾向的延迟诊断.
- 建议使用大型多基因面板或全基因组测序进行前期遗传测试,以进行早期检测,特别是在高风险家庭中.
更多相关视频
相关概念视频
The Retinoblastoma Gene
4.0K
Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
4.0K
Cancers Originate from Somatic Mutations in a Single Cell
11.5K
Cancer arises from mutations in the critical genes that allow healthy cells to escape cell cycle regulation and acquire the ability to proliferate indefinitely. Though originating from a single mutation event in one of the originator cells, cancer progresses when the mutant cell lines continue to gain more and more mutations, and finally, become malignant. For example, chronic myelogenous leukemia (CML) develops initially as a non-lethal increase in white blood cells, which progressively...
11.5K
Rous Sarcoma Virus (RSV) and Cancer
4.9K
Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
4.9K
Abnormal Proliferation
4.4K
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
4.4K
Cancer-Critical Genes I: Proto-oncogenes
8.7K
Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
8.7K
The Ras Gene
6.2K
The Ras-gene-encoded proteins are regulators of signaling pathways controlling cell proliferation, differentiation, or cell survival. The Ras-gene family in humans constitutes three primary members—the HRas, NRas, and KRas. These genes code for four functionally distinct yet closely related proteins—the HRas, NRas, KRas4A, and KRas4B. The involvement of mutant Ras genes in human cancer was first discovered in 1982 and is among the most common causes of human tumorigenesis.
Ras is a...
Ras is a...
6.2K


