Fujisawa Fumie, Tamaki Yasuhiro, Inoue Tazuko, Nakayama Takahiro, Yagi Toshinari, Kittaka Nobuyoshi, Yoshinami Tetsuhiro, Nishio Minako, Matsui Saki, Kusama Hiroki, Kamiura Shoji
Department of Medical Oncology, Osaka International Cancer Institute, Chuo-ku, Osaka 541-8567, Japan.
Division of Familial Cancer Clinic, Department of Genetic Medicine, Osaka International Cancer Institute, Chuo-ku, Osaka 541-8567, Japan.
Mol Clin Oncol. 2021 May;14(5):96. doi: 10.3892/mco.2021.2258. Epub 2021 Mar 12.
Numerous databases for risk assessment of gene mutations contain insufficient data about Asians. Furthermore, few studies have reported the prevalence of germline mutations in Japanese patients, particularly those with triple-negative breast cancer (TNBC). The present study was a retrospective analysis of data from patients with TNBC who underwent mutation testing at Osaka International Cancer Institute (Osaka, Japan) between October 2014 and March 2020. A total of 65 patients with TNBC underwent a test for mutations, and 13 (20.0%) had deleterious mutations in the or genes. Furthermore, 12 out of 29 patients with a family history of breast or ovarian cancer had deleterious mutations, and only 1 of 34 without a family history had a mutation (41.4 vs. 2.9%; P=0.014). No patients aged >60 years had mutations; however, the age of diagnosis was not a significant risk factor for mutations (P=0.60). The prevalence of mutations in the present cohort of Japanese patients with TNBC was slightly higher than those reported in other larger studies from Europe and North America. Further data from large prospective studies are required to more precisely define the prevalence of mutations.
许多用于基因突变风险评估的数据库包含的亚洲人数据不足。此外,很少有研究报道日本患者,尤其是三阴性乳腺癌(TNBC)患者中胚系突变的患病率。本研究是对2014年10月至2020年3月期间在大阪国际癌症研究所(日本大阪)接受突变检测的TNBC患者的数据进行的回顾性分析。共有65例TNBC患者接受了突变检测,其中13例(20.0%)在 或 基因中有有害突变。此外,29例有乳腺癌或卵巢癌家族史的患者中有12例有有害 突变,而34例无家族史的患者中只有1例有突变(41.4%对2.9%;P=0.014)。年龄>60岁的患者均无 突变;然而,诊断年龄不是 突变的显著危险因素(P=0.60)。本队列中日本TNBC患者的 突变患病率略高于欧洲和北美的其他大型研究报道的患病率。需要大型前瞻性研究的进一步数据来更精确地确定 突变的患病率。