Evans D Gareth R, Ingham Sarah Louise
Genetic Medicine, Manchester Academic Health Science Centre, Central Manchester Foundation Trust, St Mary's Hospital, Manchester, UK.
Appl Clin Genet. 2013 Jul 24;6:53-61. doi: 10.2147/TACG.S35605. Print 2013.
There are several hereditary diseases that are a predisposition to early-onset tumors. These include syndromic conditions like neurofibromatosis 1 and 2, von Hippel-Lindau syndrome, Gorlin syndrome, multiple endocrine neoplasia, and familial adenomatous polyposis; and conditions which are usually not possible to diagnose clinically in a single individual, such as Lynch syndrome and BRCA1/2. Understanding of the mortality in hereditary cancer predisposing diseases is important for developing effective disease treatment programs. A number of studies have been undertaken to investigate the genetic predictors, prevalence and incidence, and treatment outcomes of these diseases; however, the majority examine only the most common of these diseases (eg, neurofibromatosis or BRCA), or look into postoperative survival. The mortality of individuals who are diagnosed with one of these hereditary diseases remains an area for investigation. This review is the first to attempt identification of studies investigating life expectancy in hereditary diseases which predispose to early-onset tumors.
有几种遗传性疾病易引发早发性肿瘤。这些疾病包括神经纤维瘤病1型和2型、冯·希佩尔-林道综合征、戈林综合征、多发性内分泌肿瘤以及家族性腺瘤性息肉病等综合征性疾病;还有一些通常无法在个体中通过临床诊断的疾病,如林奇综合征和BRCA1/2。了解遗传性癌症易感疾病的死亡率对于制定有效的疾病治疗方案很重要。已经开展了多项研究来调查这些疾病的基因预测指标、患病率和发病率以及治疗结果;然而,大多数研究仅考察这些疾病中最常见的(如神经纤维瘤病或BRCA),或者研究术后生存率。被诊断患有这些遗传性疾病之一的个体的死亡率仍是一个有待研究的领域。本综述首次尝试识别那些调查易引发早发性肿瘤的遗传性疾病患者预期寿命的研究。