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Genetic counselling, BRCA1/2 status and clinico-pathologic characteristics of patients with ovarian cancer before 50 years of age


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BRCA1/2 molecular diagnostics at patients with epithelial ovarian cancer under 50 years of age

Patient codeBRCA1 HGVS C.DNA*BRCA1 HGVS protein*TypeBRCA2 HGVS c.DNA*BRCA2 HGVS protein*Type
1A01c.5377A>Tp.(Lys1793*)Nonsense
2A01c.68_69delAGp.(Glu23Valfs*17)Frameshiftc.7195A>Gp.(Thr2399Ala)Missense(UV)
c.1067A>Gp.(Gln356Arg)Missense(UV)
2A02c.9117G>Ap.(Pro3039Pro)Synonimus and splicing
2A03c.3018_3021delTTCAp.(His1006Glnfs*17)Frameshift
2A04c.181T>Gp.(Cys61Gly)Missense
3A01c.3265C>Tp.(Gln1089*)Nonsense
3A02c.181T>Gp.(Cys61Gly)Missense
3A03c.844_850dupTCATTACp.(Gln284Leufs*5)Frameshift
3A04c.191G>Ap.(Cys64Tyr)Missense
4A01c.1687C>Tp.(Gln563*)Nonsense
4A02c.3718C>Tp.(Gln1240*)Nonsense
4A03c.1687C>Tp.(Gln563*)Nonsense
4A04c.5101C>Tp.(Gln1701*)Nonsense
4A05c.5266dupCp.(Gln1756Profs*74)Frameshift

Clinicopathologic characteristics at BRCA tested patients with EOC at age under 50 years

BRCA+Ovarian cancers N = 15BRCA-Ovarian cancers N = 28p
Age at 1st cancermean40.836.90.149 (t test)
Age at the ovarian cancermean42.837.10.036 (t test)
first1123
Sequence of the ovarian cancersecond300.037 (exact χ2)
paralel to 1st15
I4 (26.7%)17 (60.7%)0.055 (exact χ2)
Stage of the ovarian cancer (FIGO)II4 (26.7%)2 (7.1%)
III5 (33.3%)7 (25.0%)
IV2 (13.3%)2 (7.1%)
serous6 (40%)13 (46.4%)
mucinous03 (10.7%)
endometrioid7 (46.7%)7 (25.0%)
Hystology Type of the Ovarian cancerclearcell02 (7.1%)0.451(exact χ2)
mixed Ca2 (13.3%)1 (3.6%)
mixed Ca+Sa01 (3.6%)
unknown01 (3.6%)
borderline1 (6.7%)1 (3.6%)
first1 (6.7%)11 (39.3%)
Grade of the Ovarian cancersecond3 (20.0%)9 (32.1%)0.008(exact χ2)
third10 (66.7%)6 (21.4%)
unidentifiable01 (3.6%)

Other cancers characteristics in BRCA tested patients with EOC at age under 50 years

BRCA + N = 14BRCA - N = 28p
Previous invasiveYes20P = 0.106(exact X2 )
breast cancerNo1228
Later invasive breastYes30P = 0.032 (exact X2 )
cancerNo1128
Occurrence of DCISYes02P = 0.545 (exact X2 )
breast cancerNo1426
Concurrent
Endometrial CancerYes05P = 0.151 (exact X2 )
No1423
(with ovarian one)

Family history of BRCA tested patients with EOC before age 45, diagnosed 1999–2008

gBRCAm + N = 5gBRCAm − N = 22p (Fisher’s exact test)
Family history(of anyPositive514p = 0.280
cancer at 1st or 2nd degree)Negative08
Family history of 1st-Positive11p = 0.342
degreebreast cancerNegative421
Family history of 1st-Positive20P = 0.028
degreeovarian cancerNegative322
eISSN:
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Language:
English
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4 times per year
Journal Subjects:
Medicine, Clinical Medicine, Radiology, Internal Medicine, Haematology, Oncology