Hospital Universitario HM Montepríncipe, Boadilla del Monte, Madrid, España.
Arch Argent Pediatr. 2021 Feb;119(1):e11-e17. doi: 10.5546/aap.2021.eng.e11.
Pediatric cancer is rare. It is estimated that more than 10-15 % of tumors are secondary to a pathogenic variant in a cancer predisposition gene. More than 100 cancer predisposition genes and their association with syndromes or isolated tumors have been identified. Li-Fraumeni syndrome is one of those who have been most widely described. Patients with this syndrome present a high risk of developing one or more tumors. Its knowledge allows to establish a follow-up protocol for the patient and affected family members, so as to detect new tumors in an early manner and reduce tumorand treatment-related morbidity and mortality. The objective of this review is to offer useful guidelines for pediatricians. Based on a family case, reasons for Li-Fraumeni syndrome suspicion, clinical and genetic diagnosis, and the follow-up protocol of family members who carry the same mutation will be reviewed.
小儿癌症较为罕见。据估计,超过 10-15%的肿瘤继发于癌易感基因的致病性变异。已经发现了 100 多种癌易感基因及其与综合征或孤立肿瘤的关联。李-佛美尼综合征就是其中之一。患有这种综合征的患者有很高的风险患上一种或多种肿瘤。了解这种疾病可以为患者及其受影响的家庭成员制定随访方案,以便尽早发现新的肿瘤,并降低肿瘤和治疗相关的发病率和死亡率。本综述的目的是为儿科医生提供有用的指导。基于一个家族病例,将回顾李-佛美尼综合征的怀疑原因、临床和遗传诊断,以及携带相同突变的家庭成员的随访方案。