Articles Vol. 63 No. chuyên đề 3-HN Sản Nhi Nghệ An (2022) 30/11/2022

BRCA1/2 MUTATIONS IN PATIENTS WITH HEREDITARY BREAST - OVARIAN CANCER SYNDROME

Le Nguyen Trong Nhan1,2, Nguyen Thi Thu Thuy3,4, Nguyen Quy Linh3,4, Tran Van Khanh3,4, Tran Huy Thinh3,4, Ta Thanh Van3,4, Nguyen Viet Tien3,4
1 Ca Mau Hospital of Obstetrics and Pediatrics
2 Bệnh viện Sản Nhi Cà Mau
3 Hanoi Medical University
4 Trường Đại học Y Hà Nội
Corresponding author: idoctor.spb@gmail.com
DOI: 10.52163/yhc.v63i8.519
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Abstract

Individuals with BRCA1/2 gene mutations are at increased risk of breast and ovarian cancer.
The prevalence of BRCA1/2 mutations varies by race and ethnicity. The prevalence and the risks
associated with most BRCA1/2 mutations has not been unknown in the Vietnamese population. We
herein screen the entire BRCA1 and BRCA2 genes for breast and ovarian cancer patients with
Hereditary Breast - Ovarian Cancer Syndrome (HBOC), thereby, suggesting personalized
evaluation risk of mutation carrier, breast and ovarian cancer and personalized plan of cancers
screening and prevention.
Objects: 33 patients who had a pathological diagnosis of breast and/or ovarian cancer with
HBOC syndrome.
Methods: Cross-sectional descriptive. Blood samples of 33 patients were collected and
analyzed using Next Generation Sequencing. The identified mutations were tested by Sanger
sequencing. Identification of mutations in the family members of patients carrying the mutation.
Results: Eleven types of mutations in both BRCA1 (in nine patients) and BRCA2 (in three
patients) were detected, one of which (BRCA2:p.Ser1341Ter) is novel, unpublished. Seven out of
19 patient’s relatives had BRCA1/2 gene mutations. All patients were counselled about the
likelihood of cancer rising and prophylactic screening and procedures. Conclusions: Our findings
suggested the implications for the planning of a screening programme for BRCA1 and BRCA2
genes testing in breast and ovarian cancer patients and genetic screening in their relatives.

References
[1]
Sung H, Global Cancer Statistics 2020: Google Scholar
[2]
GLOBOCAN Estimates of Incidence and Google Scholar
[3]
Mortality Worldwide for 36 Cancers in 185 Google Scholar
[4]
Countries. CA Cancer J Clin, 2021. 71(3): p. Google Scholar
[6]
Neff RT, Senter L, Salani R, BRCA Google Scholar
[7]
mutation in ovarian cancer: testing, implications Google Scholar
[8]
and treatment considerations. Ther Adv Med Google Scholar
[9]
Oncol, 2017. 9(8): p. 519-531. Google Scholar
[10]
Finch AP, Impact of oophorectomy on Google Scholar
[11]
cancer incidence and mortality in women with a Google Scholar
[12]
BRCA1 or BRCA2 mutation. J Clin Oncol, Google Scholar
[13]
32(15): p. 1547-53. Google Scholar
[14]
Petrucelli N, Daly MB, PT, BRCA1- and Google Scholar
[15]
BRCA2-Associated Hereditary Breast and Google Scholar
[16]
Ovarian Cancer. GeneReviews® [Internet] Google Scholar
[17]
University of Washington, Seattle, 1998 Sep 4 Google Scholar
[18]
[Updated 2016 Dec 15]. In: Adam MP, Ardinger Google Scholar
[19]
HH, Pagon RA, et al. 1993-2021. Google Scholar
[20]
Myriad_Genetic_Laboratories. The Google Scholar
[21]
Prevalence of Deleterious Mutations in BRCA1 Google Scholar
[22]
and BRCA2. Mutation Prevalence Tables 2010; Google Scholar
[23]
Available from: Google Scholar
[25]
Cline MS, BRCA Challenge: BRCA Google Scholar
[26]
Exchange as a global resource for variants in Google Scholar
[27]
BRCA1 and BRCA2. PLoS Genet, 2018. 14(12): Google Scholar
[28]
p. e1007752. Google Scholar
[29]
Frank TS, Clinical characteristics of Google Scholar
[30]
individuals with germline mutations in BRCA1 Google Scholar
[31]
and BRCA2: analysis of 10,000 individuals. J Google Scholar
[32]
Clin Oncol, 2002. 20(6): p. 1480-90. Google Scholar
[33]
Daly MB, Genetic/Familial High-Risk Google Scholar
[34]
Assessment: Breast, Ovarian, and Pancreatic, Google Scholar
[35]
Version 2.2021, NCCN Clinical Practice Google Scholar
[36]
Guidelines in Oncology. J Natl Compr Canc Google Scholar
[37]
Netw, 2021. 19(1): p. 77-102. Google Scholar
[38]
Carver T, CanRisk Tool-A Web Interface Google Scholar
[39]
for the Prediction of Breast and Ovarian Cancer Google Scholar
[40]
Risk and the Likelihood of Carrying Genetic Google Scholar
[41]
Pathogenic Variants. Cancer Epidemiol Google Scholar
[42]
Biomarkers Prev, 2021. 30(3): p. 469-473. Google Scholar