关键词: BRCA 1 cancer precision medicine germline findings hereditary breast and ovarian cancer (HBOC) presumed germline pathogenic variants (PGPV)

Mesh : BRCA2 Protein / genetics Breast Neoplasms Cell-Free Nucleic Acids Child Female Humans Liquid Biopsy Middle Aged Ovarian Neoplasms / diagnosis drug therapy genetics Pedigree Poly(ADP-ribose) Polymerase Inhibitors

来  源:   DOI:10.18926/AMO/63908

Abstract:
A hereditary breast and ovarian cancer (HBOC) pedigree was detected via liquid biopsy, and cancer prevention was initiated for the patient\'s daughter, after receiving a definitive result from BRCA genetic testing. A 48-yearold woman with ovarian cancer was administered precision medicine, which used cell-free DNA from plasma. The results revealed a pathogenic variant of BRCA1 as a presumed germline pathogenic mutation. We confirmed the germline pathological variant BRCA1 c.81-1G> A and suggested treatment with a PARP inhibitor. One of her three children had the variant, was diagnosed as an unaffected pathogenic variant carrier, and was advised to initiate surveillance.
摘要:
通过液体活检检测到遗传性乳腺癌和卵巢癌(HBOC)家系,癌症预防是为病人的女儿开始的,在收到BRCA基因检测的明确结果后。一名48岁的卵巢癌患者接受了精准医疗,使用血浆中的无细胞DNA。结果表明,BRCA1的致病变体是假定的种系致病突变。我们证实了种系病理变异BRCA1c.81-1G>A,并建议用PARP抑制剂治疗。她的三个孩子中有一个有变种,被诊断为未受影响的致病变异携带者,并被建议开始监视。
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