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Utilization of multigene panels in hereditary cancer predisposition testing: analysis of more than 2,000 patients

Open access
LaDuca, Holly, Stuenkel, A J, Dolinsky, Jill S., Keiles, Steven, Tandy, Stephany, Pesaran, Tina, Chen, Elaine, Gau, Chia-Ling, Palmaer, Erika, Shoaepour, Kamelia, Shah, Divya, Speare, Virginia, Gandomi, Stephanie, Chao, Elizabeth·2014·Genetics in Medicine

Abstract

PURPOSE: The aim of this study was to determine the clinical and molecular characteristics of 2,079 patients who underwent hereditary cancer multigene panel testing. METHODS: Panels included comprehensive analysis of 14-22 cancer susceptibility genes (BRCA1 and BRCA2 not included), depending on the panel ordered (BreastNext, OvaNext, ColoNext, or CancerNext). Next-generation sequencing and deletion/duplication analyses were performed for all genes except EPCAM (deletion/duplication analysis only). Clinical histories of ColoNext patients harboring mutations in genes with well-established diagnostic criteria were assessed to determine whether diagnostic/testing criteria were met. RESULTS: Positive rates were defined as the proportion of patients with a pathogenic mutation/likely pathogenic variant(s) and were as follows: 7.4% for BreastNext, 7.2% for OvaNext, 9.2% for ColoNext, and 9.6% for CancerNext. Inconclusive results were found in 19.8% of BreastNext, 25.6% of OvaNext, 15.1% of ColoNext, and 23.5% of CancerNext tests. Based on information submitted by clinicians, 30% of ColoNext patients with mutations in genes with well-established diagnostic criteria did not meet corresponding criteria. CONCLUSION: Our data point to an important role for targeted multigene panels in diagnosing hereditary cancer predisposition, particularly for patients with clinical histories spanning several possible diagnoses and for patients with suspicious clinical histories not meeting diagnostic criteria for a specific hereditary cancer syndrome.

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Metadata

Authors
LaDuca, H., Stuenkel, A. J., Dolinsky, J. S., Keiles, S., Tandy, S., Pesaran, T., Chen, E., Gau, C.-L., Palmaer, E., Shoaepour, K., Shah, D., Speare, V., Gandomi, S., & Chao, E.
Venue
Genetics in Medicine
Publisher
Elsevier BV
Published
2014-11
Volume
16
Issue
11
Pages
830-837
ISSN
1098-3600 (ISSN-L)
OpenAlex
W2023970825
Cited by
332
References
33
FWCI
27.34
Type
journal article
Language
en
Open access
hybrid

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LaDuca, H., Stuenkel, A. J., Dolinsky, J. S., Keiles, S., Tandy, S., Pesaran, T., Chen, E., Gau, C.-L., Palmaer, E., Shoaepour, K., Shah, D., Speare, V., Gandomi, S., & Chao, E. (2014). Utilization of multigene panels in hereditary cancer predisposition testing: analysis of more than 2,000 patients. Genetics in Medicine. https://doi.org/10.1038/gim.2014.40

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