Publication details

Hereditární difuzní karcinom žaludku

Title in English Hereditary diffuse gastric cancer
Authors

PUCHMAJEROVÁ Alena VASOVČÁK Peter MACHÁČKOVÁ Eva FORETOVÁ Lenka KŘEPELOVÁ Anna

Year of publication 2012
Type Article in Periodical
Magazine / Source Klinická onkologie
MU Faculty or unit

Faculty of Medicine

Citation
Web http://www.linkos.cz/files/klinicka-onkologie/172/4056.pdf
Field Oncology and hematology
Keywords CDH1 gene; Diffuse gastric cancer; Lobular breast cancer; Prophylactic total gastrectomy
Description Hereditary diffuse gastric cancer is an autosomal dominant syndrome with a high lifetime risk of diffuse gastric cancer and also a high risk of lobular breast carcinoma. Hereditary diffuse gastric cancer (HDGC) is characterized by late presentation and a poor prognosis. The average age of onset of HDGC is 38 years, with a range of 14-69 years. The estimated lifetime risk of developing gastric cancer by age 80 is 67% for men and 83% for women. Many families with HDGC have germline mutations in the E-cadherin (CDH1) gene. We describe indication for genetic testing of germline mutations in CDH1 gene, possibilities of predictive testing, preventive care, prophylactic gastrectomy and preimplantation diagnosis.

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