Farrell Christopher J, Plotkin Scott R
Department of Neurosurgery, White 502, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA.
Neurol Clin. 2007 Nov;25(4):925-46, viii. doi: 10.1016/j.ncl.2007.07.008.
Several familial syndromes are associated with an increased incidence of nervous system tumors. Recognition of these syndromes is critical to provide optimal clinical care and genetic counseling to affected patients and their families. Identification of the genetic defects responsible for these relatively uncommon disorders has led to the improved understanding of critical molecular pathways involved in tumorigenesis and has contributed to the emergence of molecularly targeted therapeutics against cancer. The hereditary syndromes and diseases included in this review are limited to those associated with brain tumors: neurofibromatosis 1, neurofibromatosis 2, tuberous sclerosis complex, von Hippel-Lindau disease, and the less frequently encountered Cowden disease and Li-Fraumeni, Turcot's, and Gorlin's syndromes.
几种家族性综合征与神经系统肿瘤发病率的增加有关。认识这些综合征对于为受影响的患者及其家庭提供最佳临床护理和遗传咨询至关重要。对导致这些相对罕见疾病的基因缺陷的识别,增进了我们对肿瘤发生过程中关键分子途径的理解,并推动了针对癌症的分子靶向治疗的出现。本综述中包括的遗传性综合征和疾病仅限于与脑肿瘤相关的那些:神经纤维瘤病1型、神经纤维瘤病2型、结节性硬化症复合体、冯·希佩尔-林道病,以及较少见的考登病、李-弗劳梅尼综合征、图尔科特综合征和戈林综合征。