Vellone Valerio G, Paudice Michele, Varesco Liliana
Department of Surgical and Diagnostic Sciences, Anatomic Pathology, Genoa University, Genoa, Italy -
Minerva Ginecol. 2016 Oct;68(5):579-86. Epub 2016 Mar 1.
Early diagnosis and proper management of gynecologic malignancies represent a challenge in modern oncology. A growing interest has arisen around the gynecological manifestations of hereditary cancer syndromes. In particular, the discovery of the BRCA1 and BRCA2 genes in ovarian cancer and the mismatch repair genes (MMR) in endometrial carcinoma has revolutionized our approach to the diagnosis and screening of women for ovarian and uterine cancers. The clinical, genetic and pathological features of hereditary cancer syndromes with gynecological manifestations are reviewed focusing on Lynch Syndrome, also known as hereditary nonpolyposis colorectal carcinoma (HNPCC), Peutz-Jeghers Syndrome (PJS), Cowden Syndrome or multiple hamartoma syndrome, Gorlin Syndrome or nevoid basal-cell carcinoma syndrome (NBCCS) and Reed's Syndrome or hereditary leiomyomatosis and renal cell cancer (HLRCC).
妇科恶性肿瘤的早期诊断和恰当管理是现代肿瘤学面临的一项挑战。人们对遗传性癌症综合征的妇科表现越来越感兴趣。特别是,卵巢癌中BRCA1和BRCA2基因以及子宫内膜癌中错配修复基因(MMR)的发现,彻底改变了我们对女性卵巢癌和子宫癌的诊断及筛查方法。本文综述了具有妇科表现的遗传性癌症综合征的临床、遗传和病理特征,重点关注林奇综合征(也称为遗传性非息肉病性结直肠癌,HNPCC)、佩吉特-耶格综合征(PJS)、考登综合征或多发性错构瘤综合征、基底细胞痣综合征(NBCCS)或戈林综合征以及里德综合征或遗传性平滑肌瘤病和肾细胞癌(HLRCC)。