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IllnessBrustkrebs + Eierstockkrebs + Endometrium; HBOC-Konsortium

Summary

Short information

Differential diagnostic panel for HBOC - hereditary breast cancer + ovarian cancer - comprising 18 guideline-curated core and core candidtae genes and altogether 22 curated genes according to the clinical signs

ID
BP0202
Number of genes
22 Accredited laboratory test
Examined sequence length
57,5 kb (Core-/Core-canditate-Genes)
68,7 kb (Extended panel: incl. additional genes)
Analysis Duration
on request
Material
  • EDTA-anticoagulated blood (3-5 ml)
  • Gewebeprobe
Diagnostic indications

NGS +

[Sanger]

Analysis of the PMS2 gene currently only upon special request

 

Gene panel

Selected genes

NameExon Length (bp)OMIM-GReferenz-Seq.Heredity
ATM9171NM_000051.4AD
BARD12334NM_000465.4AD, Sus
BRCA15592NM_007294.4AD, Sus
BRCA210257NM_000059.4AD
BRIP13750NM_032043.3AD
CDH12649NM_004360.5AD, Sus
CHEK21632NM_007194.4AD
EPCAM945NM_002354.3AD
MLH12271NM_000249.4AD, Sus
MSH22805NM_000251.3AD, Sus
MSH64083NM_000179.3AD, Sus
PALB23561NM_024675.4AD, Sus
PMS22589NM_000535.7Sus
PTEN1212NM_000314.8AD
RAD51C1131NM_058216.3AD
RAD51D987NM_002878.4AD
STK111302NM_000455.5AD
TP531182NM_000546.6AD, Sus
FANCM6147NM_020937.4AR, Sus
NBN2265NM_002485.5n.k.
RECQL1950NM_002907.4n.k.
XRCC2843NM_005431.2AR

Informations about the disease

Clinical Comment

About 30/100 women with breast or ovarian cancer have a family history of the disease. In 5-10/100 cases of breast cancer, a mutation in one of the known breast cancer high-risk genes is detectable, most commonly affecting the BRCA1 and BRCA2 genes. Other genes are less often affected. Both, women and men with BRCA1/2 mutations can develop breast cancer. Women with a BRCA1/2 mutation are also more likely to develop ovarian cancer. If other breast cancer risk genes are mutated, the ovarian cancer risk is not increased in all cases. The panel analysis considers the 13 most important risk genes for hereditary breast and ovarian cancer. These risk genes are included in international (guideline) recommendations (see references). The penetrance of BRCA1/2 mutations for female breast cancer is approximately 70% by age 80. The median age of onset is 44-50 years. About 44% of BRCA1 mutation carriers and about 17% of BRCA2 mutation carriers develop ovarian cancer by age 80. Women and men are also at increased risk for other tumor diseases, the severity of which depends on the genes involved. The molecular genetic diagnostic yield of this panel is currently not precisely known. Therefore, a negative DNA result does not exclude clinical diagnosis.

References: https://www.krebsinformationsdienst.de/service/iblatt/iblatt-familiaerer-brust-u-eierstockkrebs.pdf

https://www.konsortium-familiaerer-brustkrebs.de/

https://pubmed.ncbi.nlm.nih.gov/30268633/

 

Synonyms
  • Alias: erblicher Brustkrebs + Eierstockkrebs
  • Allelic: Adrenocortical carcinoma, pediatric (TP53)
  • Allelic: Aplastic anemia (NBN)
  • Allelic: Ataxia-telangiectasia (ATM)
  • Allelic: Basal cell carcinoma 7 (TP53)
  • Allelic: Blepharocheilodontic syndrome 1 (CDH1)
  • Allelic: Bone marrow failure syndrome 5 (TP53)
  • Allelic: Choroid plexus papilloma (TP53)
  • Allelic: Colorectal cancer (TP53)
  • Allelic: Colorectal cancer, hereditary nonpolyposis, type 1 (MSH2)
  • Allelic: Colorectal cancer, hereditary nonpolyposis, type 4 (PMS2)
  • Allelic: Colorectal cancer, hereditary nonpolyposis, type 5 (MSH6)
  • Allelic: Colorectal cancer, hereditary nonpolyposis, type 8 (EPCAM)
  • Allelic: Cowden syndrome 1 (PTEN)
  • Allelic: Diarrhea 5, with tufting enteropathy, congenital (EPCAM)
  • Allelic: Endometrial cancer, familial (MSH6)
  • Allelic: Endometrial carcinoma, somatic (CDH1)
  • Allelic: Fanconi anemia, complementation group D1 (BRCA2)
  • Allelic: Fanconi anemia, complementation group J (BRIP1)
  • Allelic: Fanconi anemia, complementation group N (PALB2)
  • Allelic: Fanconi anemia, complementation group O (RAD51C)
  • Allelic: Fanconi anemia, complementation group S (BRCA1)
  • Allelic: Fanconi anemia, complementation group U (XRCC2)
  • Allelic: Gastric cancer, hereditary diffuse, with/-out cleft lip and/or palate (CDH1)
  • Allelic: Glioblastoma 3 (BRCA2)
  • Allelic: Glioma susceptibility 1 (TP53)
  • Allelic: Glioma susceptibility 2 (PTEN)
  • Allelic: Hepatocellular carcinoma, somatic (TP53)
  • Allelic: Leukemia, acute lymphoblastic (NBN)
  • Allelic: Lhermitte-Duclos syndrome (PTEN)
  • Allelic: Li-Fraumeni syndrome (CHEK2)
  • Allelic: Li-Fraumeni syndrome (TP53)
  • Allelic: Lymphoma, B-cell non-Hodgkin, somatic (ATM)
  • Allelic: Lymphoma, mantle cell, somatic (ATM)
  • Allelic: Macrocephaly/autism syndrome (PTEN)
  • Allelic: Medulloblastoma (BRCA2)
  • Allelic: Melanoma, malignant, somatic (STK11)
  • Allelic: Meningioma (PTEN)
  • Allelic: Muir-Torre syndrome (MLH1, MSH2, MSH6)
  • Allelic: Nasopharyngeal carcinoma, somatic (TP53)
  • Allelic: Osteosarcoma (TP53)
  • Allelic: Osteosarcoma, somatic (CHEK2)
  • Allelic: Pancreatic cancer 2 (BRCA2)
  • Allelic: Pancreatic cancer, somatic (STK11)
  • Allelic: Pancreatic cancer, somatic (TP53)
  • Allelic: Pancreatic cancer, susceptibility to, 3 (PALB2)
  • Allelic: Pancreatic cancer, susceptibility to, 4 (BRCA1)
  • Allelic: Peutz-Jeghers syndrome (STK11)
  • Allelic: Premature ovarian failure 15 (FANCM)
  • Allelic: Premature ovarian failure 17 (XRCC2)
  • Allelic: Prostate cancer (BRCA2)
  • Allelic: Prostate cancer, familial, susceptibility to (CHEK2)
  • Allelic: Prostate cancer, susceptibility to (CDH1)
  • Allelic: Spermatogenic failure (XRCC2)
  • Allelic: Spermatogenic failure 28 (FANCM)
  • Allelic: T-cell prolymphocytic leukemia, somatic (ATM)
  • Allelic: Testicular tumor, somatic (STK11)
  • Allelic: Wilms tumor (BRCA2)
  • Breast + colorectal cancer, susceptibility to (CHEK2)
  • Breast cancer, early-onset, susceptibility to (BRIP1)
  • Breast cancer, lobular (CDH1)
  • Breast cancer, male, susceptibility to (BRCA2)
  • Breast cancer, somatic (TP53)
  • Breast cancer, susceptibility to (ATM)
  • Breast cancer, susceptibility to (BARD1)
  • Breast cancer, susceptibility to (CHEK2)
  • Breast cancer, susceptibility to (PALB2)
  • Breast-ovarian cancer, familial, 1 (BRCA1)
  • Breast-ovarian cancer, familial, 2 (BRCA2)
  • Breast-ovarian cancer, familial, susceptibility to, 3 (RAD51C)
  • Breast-ovarian cancer, familial, susceptibility to, 4 (RAD51D)
  • Inherited Cancer-Predisposing Syndrome [GeneCards] (RECQL)
  • Mismatch repair cancer syndrome [panelapp] (MLH1, MSH2, MSH6, PMS2)
  • Nijmegen breakage syndrome (NBN)
  • Ovarian cancer, somatic (CDH1)
Heredity, heredity patterns etc.
  • AD
  • AR
  • Sus
  • n.k.
OMIM-Ps
  • No OMIM-Ps linked
ICD10 Code

Bioinformatics and clinical interpretation

No text defined