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c.1260+1del变异作为早期乳腺癌发生的重要预测指标:病例报告与分析相结合

c.1260+1del Variant as a Significant Predictor of Early-Age Breast Cancer Development: Case Report Combined with Analysis.

作者信息

Wieleba Irena, Smoleń Paulina, Czukiewska Ewa, Szcześniak Dominika, Filip Agata A

机构信息

Department of Clinical Genetics with Cytogenetic Laboratory, Medical University of Lublin, Radziwillowska St. 11, 20-400 Lublin, Poland.

Laboratory of Molecular Genetics, Medical University of Lublin, Chodzki 1 St., 20-093 Lublin, Poland.

出版信息

Int J Mol Sci. 2025 Jul 12;26(14):6704. doi: 10.3390/ijms26146704.

Abstract

According to the guidelines of the American Society of Clinical Oncology (ASCO) and the European Society of Medical Oncology (ESMO), the most significant genetic factor in the diagnosis and treatment of breast cancer is the mutation status of the and genes. Additional genes with a significant influence on cancer risk were selected for genetic panel screening. For these genes, the disease risk score was predicted to be greater than 20%. In clinical practice, it is observed that rare genetic variants have a significant impact in young patients, characterized by increased pathogenesis and a poorer overall prognosis. The ability to predict the potential effects of these rare variants may reveal important information regarding possible phenotypes and may also provide new insights leading to more efficacious treatments and overall improved clinical management. This paper presents the case of a 38-year-old woman with bilateral breast cancer who is likely a carrier of a pathogenic point mutation in the gene (: c.1260+1del variant). With this clinical case report herein described, we intend to display the usefulness of performing detailed molecular tests in the field of genetic diagnostics for patients with breast cancer. Understanding the pathogenesis of hereditary cancer development, which is more predictable and reliable than that of sporadic tumors, will allow for the discovery of hitherto hidden intrinsic signaling pathways, facilitating replicable experimentation and thereby expediting the discovery of novel therapeutic treatments.

摘要

根据美国临床肿瘤学会(ASCO)和欧洲医学肿瘤学会(ESMO)的指南,乳腺癌诊断和治疗中最重要的遗传因素是 基因和 基因的突变状态。选择了对癌症风险有重大影响的其他基因进行基因检测板筛查。对于这些基因,预测疾病风险评分大于20%。在临床实践中观察到,罕见的基因变异在年轻患者中具有重大影响,其特征为发病机制增加和总体预后较差。预测这些罕见变异潜在影响的能力可能揭示有关可能表型的重要信息,也可能提供新的见解,从而带来更有效的治疗方法并全面改善临床管理。本文介绍了一名38岁双侧乳腺癌女性患者的病例,她可能是 基因(:c.1260+1del变异)致病点突变的携带者。通过本文描述的这个临床病例报告,我们旨在展示在乳腺癌患者的基因诊断领域进行详细分子检测的有用性。了解遗传性癌症发生的发病机制,其比散发性肿瘤的发病机制更具可预测性和可靠性,将有助于发现迄今隐藏的内在信号通路,促进可重复的实验,从而加快新型治疗方法的发现。

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