Cancer Screening Recommendations for Individuals with Li-Fraumeni Syndrome
Open accessAbstract
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.
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Hameed, M., & Mandelker, D. (2018) · Advances in Anatomic Pathology · doi:10.1097/pap.0000000000000190 · Cited by 109 · see citing works
Diessner, B. J., Pankratz, N., Hooten, A. J., Mirabello, L., Sarver, A. L., Mills, L. J., Malkin, D., Kelley, A. C., & Spector, L. G. (2020) · JCO Precision Oncology · doi:10.1200/po.20.00087 · Cited by 16 · see citing works
Self-citation
- 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
- ORCID
- Kratz, Christian P.
- Achatz, Maria Isabel
- Brugières, Laurence
- Garber, Judy E.
- Greer, Mary-Louise C.
- Hansford, Jordan R.
- Janeway, Katherine A.
- Kohlmann, Wendy K.
- McGee, Rose
- Mullighan, Charles G.
- Onel, Kenan
- Pajtler, Kristian W.
- Pfister, Stefan M.
- Savage, Sharon A.
- Schiffman, Joshua D.
- Strong, Louise C.
- Evans, D. Gareth R.
- Wasserman, Jonathan D.
- 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
- Open access
- 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
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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.
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