Cited by 534Cancer-related Molecular PathwaysMultiple and Secondary Primary CancersBRCA gene mutations in cancer

Cancer Screening Recommendations for Individuals with Li-Fraumeni Syndrome

Open access
Kratz, Christian P., Achatz, Maria Isabel, Brugières, Laurence, Frebourg, Thierry, Garber, Judy E., Greer, Mary-Louise C., Hansford, Jordan R., Janeway, Katherine A. +14 more·2017·Clinical Cancer Research

Abstract

Li-Fraumeni syndrome (LFS) is an autosomal dominantly inherited condition caused by germline mutations of the TP53 tumor suppressor gene encoding p53, a transcription factor triggered as a protective cellular mechanism against different stressors. Loss of p53 function renders affected individuals highly susceptible to a broad range of solid and hematologic cancers. It has recently become evident that children and adults with LFS benefit from intensive surveillance aimed at early tumor detection. In October 2016, the American Association for Cancer Research held a meeting of international LFS experts to evaluate the current knowledge on LFS and propose consensus surveillance recommendations. Herein, we briefly summarize clinical and genetic aspects of this aggressive cancer predisposition syndrome. In addition, the expert panel concludes that there are sufficient existing data to recommend that all patients with LFS be offered cancer surveillance as soon as the clinical or molecular LFS diagnosis is established. Specifically, the panel recommends adoption of a modified version of the “Toronto protocol” that includes a combination of physical exams, blood tests, and imaging. The panel also recommends that further research be promoted to explore the feasibility and effectiveness of these risk-adapted surveillance and cancer prevention strategies while addressing the psychosocial needs of individuals and families with LFS. Clin Cancer Res; 23(11); e38–e45. ©2017 AACR. See all articles in the online-only CCR Pediatric Oncology Series.

Integrity signals

Registry

Crossref · 10.1158/1078-0432.ccr-17-0408

Cites

76 of 76 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

The text we found for this paper looks like another document, so its claims and self-check weren’t run. The registry and citation checks still apply.

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The text we found for this paper looks like another document, so the self-check wasn’t run.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Kratz, C. P., Achatz, M. I., Brugières, L., Frebourg, T., Garber, J. E., Greer, M.-L. C., Hansford, J. R., Janeway, K. A., Kohlmann, W. K., McGee, R., Mullighan, C. G., Onel, K., Pajtler, K. W., Pfister, S. M., Savage, S. A., Schiffman, J. D., Schneider, K. A., Strong, L. C., Evans, D. G. R., Wasserman, J. D., Villani, A., & Malkin, D.
Affiliations
  • Medizinische Hochschule Hannover (DE)
  • National Cancer Institute (US)
  • Institut Gustave Roussy (FR)
  • 4Department of Genetics, Rouen University Hospital, Rouen, France.
  • Dana-Farber Cancer Institute (US)
  • University of Toronto (CA)
  • Royal Children's Hospital (AU)
  • Boston Children's Hospital (US)
  • Huntsman Cancer Institute (US)
  • St. Jude Children's Research Hospital (US)
  • Northwell Health (US)
  • German Cancer Research Center (DE)
  • University of Utah (US)
  • The University of Texas MD Anderson Cancer Center (US)
  • Manchester Academic Health Science Centre (GB)
Corresponding author
  • Villani, Anita
  • Malkin, David
Venue
Clinical Cancer Research
Published
2017-05-31
Volume
23
Issue
11
Pages
e38-e45
ISSN
  • 1078-0432 (ISSN-L)
  • 1557-3265
OpenAlex
W2620901258
Cited by
534
References
76
Citations by year
2026: 38 · 2025: 54 · 2024: 60 · 2023: 46 · 2022: 51 · 2021: 98 · 2020: 74 · 2019: 53 · 2018: 42 · 2017: 16 · 2013: 1
FWCI
5.31
Type
journal article
Language
en
Licence
other-oa
Locations
  • Clinical Cancer Research (publishedVersion)
  • PubMed (publishedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion, other-oa)
Funders
National Institute for Health and Care Research (NF-SI-0513-10076)
Topics
  • Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
  • Health Sciences › Medicine › Epidemiology › Multiple and Secondary Primary Cancers
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
Keywords
Li-Fraumeni syndrome, p53, cancer predisposition syndromes, cancer surveillance, cancer screening recommendations, tumor suppressor, hematologic malignancies, early cancer detection, risk-adapted surveillance, cancer prevention, psychosocial needs
MeSH terms
Child, Humans, Tumor Suppressor Protein p53, Li-Fraumeni Syndrome, Germ-Line Mutation, Genetic Predisposition to Disease, Early Detection of Cancer

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review