Literature DB >> 23415889

Excess breast cancer risk in first degree relatives of CHEK2∗1100delC positive familial breast cancer cases.

Muriel A Adank1, Senno Verhoef, Rogier A Oldenburg, Marjanka K Schmidt, Maartje J Hooning, John W M Martens, Annegien Broeks, Matti Rookus, Quinten Waisfisz, Birgit I Witte, Marianne A Jonker, Hanne Meijers-Heijboer.   

Abstract

AIM: The CHEK21100delC mutation confers a relative risk of two for breast cancer (BC) in the general population. This study aims to explore the excess cancer risk due to the CHEK21100delC mutation within a familial non-BRCA1/2 breast cancer setting. PATIENTS AND METHODS: Cancer incidences were compared between first degree relatives of 107 familial breast cancer patients positive for the CHEK21100delC mutation (CHEK2 positive families) and first degree relatives of 314 familial breast cancer patients without the CHEK21100delC mutation (CHEK2 negative families). All families were derived from the same pool of familial non-BRCA1/2 breast cancer families (n=2554). Medical information of 2188 first degree relatives of these families was analysed for cancer risk. CHEK21100delC status of relatives was unknown.
RESULTS: Increased breast cancer risk (hazard ratio (HR) 2.0 (95% confidence interval (CI): 1.4-2.7), p<0.001) was observed in sisters of CHEK21100delC positive index cases compared to sisters of CHEK21100delC negative index cases. HR was 1.6 (95% CI: 1.0-2.4) for mothers of CHEK2 positive versus negative index cases (p=0.041). For second primary breast cancers HR was increased in CHEK21100delC positive index cases (HR 2.1, 95% CI: 1.3-3.3, p=0.003) and their sisters (HR 2.6, 95% CI: 1.1-6.1, p=0.025).
CONCLUSION: There is an excess breast cancer risk in first degree relatives of CHEK21100delC positive non-BRCA1/2 familial breast cancer patients compared to non-CHEK21100delC familial breast cancer relatives. Genotyping for the CHEK21100delC mutation in a familial breast cancer setting contributes to optimal clinical surveillance in countries in which this mutation is prevalent. Carriers and female relatives are eligible for stringent breast surveillance programs.
Copyright © 2013 Elsevier Ltd. All rights reserved.

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Year:  2013        PMID: 23415889     DOI: 10.1016/j.ejca.2013.01.009

Source DB:  PubMed          Journal:  Eur J Cancer        ISSN: 0959-8049            Impact factor:   9.162


  8 in total

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  8 in total

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