SEOM clinical guideline on heritable TP53-related cancer syndrome (2022)
- PMID: 37133731
- PMCID: PMC10425559
- DOI: 10.1007/s12094-023-03202-9
SEOM clinical guideline on heritable TP53-related cancer syndrome (2022)
Abstract
Li-Fraumeni syndrome is caused by heterozygous germline pathogenic variants in the TP53 gene. It involves a high risk of a variety of malignant tumors in childhood and adulthood, the main ones being premenopausal breast cancer, soft tissue sarcomas and osteosarcomas, central nervous system tumors, and adrenocortical carcinomas. The variability of the associated clinical manifestations, which do not always fit the classic criteria of Li-Fraumeni syndrome, has led the concept of SLF to extend to a more overarching cancer predisposition syndrome, termed hereditable TP53-related cancer syndrome (hTP53rc). However, prospective studies are needed to assess genotype-phenotype characteristics, as well as to evaluate and validate risk-adjusted recommendations. This guideline aims to establish the basis for interpreting pathogenic variants in the TP53 gene and provide recommendations for effective screening and prevention of associated cancers in carrier individuals.
Keywords: Cancer; Li-Fraumeni syndrome; Pathogenic variants; TP53.
© 2023. The Author(s).
Conflict of interest statement
The authors declared no conflicts of interest with respect to the authorship, and/or publication of this article.
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References
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- de Andrade KC, Khincha PP, Hatton JN, Frone MN, Wegman-Ostrosky T, Mai PL, et al. Cancer incidence, patterns, and genotype–phenotype associations in individuals with pathogenic or likely pathogenic germline TP53 variants: an observational cohort study. Lancet Oncol. 2021;22:1787–1798. doi: 10.1016/S1470-2045(21)00580-5. - DOI - PMC - PubMed
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- Mai PL, Best AF, Peters JA, DeCastro RM, Khincha PP, Loud JT, et al. Risks of first and subsequent cancers among TP53 mutation carriers in the national cancer institute Li-Fraumeni syndrome cohort: cancer risk in TP53 mutation carriers. Cancer. 2016;122:3673–3681. doi: 10.1002/cncr.30248. - DOI - PMC - PubMed
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