Familial pancreatic cancer
Open accessAbstract
BACKGROUND: For many years anecdotal case reports have suggested that pancreatic cancer aggregates in some families. METHODS: Two recent advances have established that this is in fact the case. First, large registries, such as the National Familial Pancreas Tumor Registry (NFPTR) at Johns Hopkins, have identified a number of families in which multiple family members have been diagnosed with pancreatic cancer. As a result, the patterns of inheritance of pancreatic cancer can now be studied on a scale not possible before. Second, advances in molecular genetic techniques make it possible to test members of these families for germline mutations in known candidate cancer causing genes. As a result, some of the genetic alterations responsible for the familial aggregation of pancreatic cancer have been identified in some families. RESULTS: The NFPTR has enrolled 362 families in which at least one family member has been diagnosed with pancreatic cancer. These include 151 families in which at least two first-degree relatives have been diagnosed with pancreatic cancer. Analysis of these families has revealed that even second-degree relatives of patients from these families are at increased risk of developing pancreatic cancer. In addition, a number of kindreds which exhibit aggregation of cancer have been tested for germline mutations in known cancer causing genes. Germline mutations in BRCA2 have been shown to predispose to both breast and pancreatic cancer, germline mutations in p16 to melanoma and pancreatic cancer (the FAMMM syndrome), and genetic mutations in STK11/LKB1 to pancreatic cancer in patients with the Peutz-Jeghers Syndrome (PJS). CONCLUSIONS: Pancreatic cancer aggregates in some families, and relatives of patients with pancreatic cancer have an increased risk of developing pancreatic cancer themselves. The genetic basis for the familial aggregation of pancreatic cancer has been shown to be germline mutations in known cancer causing genes in some of these families.
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Screening the general population for pancreatic ductal adenocarcinoma carries risk, and there is currently no evidence that it reduces mortality or is cost-effective.
“Screening of the general population carries risk, and there is currently no evidence that it reduces mortality or is cost-effective.54,55”
From Early detection of pancreatic cancer (2020) · cites this paper as [55]
Established screening programmes for pancreatic ductal adenocarcinoma include the pan-European EUROPAC registry, the North American National Familial Pancreatic Tumor Registry, and the German National Case Collection for familial pancreatic cancer.
“Established screening programmes exist, including the pan-European EUROPAC registry,36 North American National Familial Pancreatic Tumor Registry,57 and the German National Case Collection for familial pancreatic cancer.58”
From Early detection of pancreatic cancer (2020) · cites this paper as [57]
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Self-citation
- Authors
- Hruban, R. H., Petersen, G. M., Goggins, M., Tersmette, A. C., Offerhaus, G. J. A., Falatko, F., Yeo, C. J., & Kern, S. E.
- Affiliations
- Johns Hopkins University (US)
- Venue
- Annals of Oncology
- Publisher
- Elsevier BV
- Published
- 1999
- Volume
- 10
- Pages
- S69-S73
- ISSN
- 0923-7534 (ISSN-L)
- OpenAlex
- W2154833261
- Cited by
- 134
- References
- 51
- Citations by year
- 2024: 2 · 2023: 2 · 2021: 1 · 2020: 5 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 5 · 2015: 2 · 2014: 5 · 2013: 4 · 2012: 4
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Annals of Oncology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (P50CA062924)
- Topics
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Keywords
- familial pancreatic cancer, pancreatic cancer, familial aggregation, germline mutations, BRCA2, p16, STK11/LKB1, Peutz-Jeghers syndrome, hereditary cancer predisposition, second-degree relatives
- MeSH terms
- Breast Neoplasms, Colorectal Neoplasms, Hereditary Nonpolyposis, Dysplastic Nevus Syndrome, Female, Humans, Neoplasm Proteins, Pancreatic Neoplasms, Transcription Factors, Genes, p16, BRCA2 Protein
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