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乳腺癌是否仍属于林奇相关肿瘤谱的争议尚未解决?

Is the controversy on breast cancer as part of the Lynch-related tumor spectrum still open?

出版信息

Fam Cancer. 2012 Dec;11(4):681-3. doi: 10.1007/s10689-012-9562-2.

DOI:10.1007/s10689-012-9562-2
PMID:22890886
Abstract

Several studies report an increased risk of breast/pancreatic cancer in MMR (DNA mismatch repair) mutation carriers that has significant consequences on standard cancer screening in such population. The French national network involved in Lynch syndrome molecular characterization registered 15 families with an identified MMR germline mutation and the occurrence of breast/pancreatic adenocarcinoma in mutations carriers. Corresponding tumors were investigated and the MMR function was shown to be intact. This observation tends to exclude breast/pancreatic cancers from Lynch tumor spectrum defined by a complete loss of the MMR function in tumor cells and to support the hypothesis of another causal factor.

摘要

一些研究报告称,在 MMR(DNA 错配修复)突变携带者中,乳腺癌/胰腺癌的风险增加,这对该人群的标准癌症筛查有重大影响。涉及林奇综合征分子特征的法国国家网络登记了 15 个具有确定的 MMR 种系突变的家族,以及突变携带者中乳腺癌/胰腺腺癌的发生。对相应的肿瘤进行了研究,结果显示 MMR 功能完整。这一观察结果倾向于将乳腺癌/胰腺癌从由肿瘤细胞中 MMR 功能完全丧失定义的林奇肿瘤谱中排除,并支持另一个因果因素的假设。

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本文引用的文献

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Colorectal and other cancer risks for carriers and noncarriers from families with a DNA mismatch repair gene mutation: a prospective cohort study.携带 DNA 错配修复基因突变的家族中携带者和非携带者的结直肠癌和其他癌症风险:一项前瞻性队列研究。
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乳腺癌作为林奇综合征的一个组成部分的证据。
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