Genetics in Cancer Flashcards

1
Q

What is Li Feaumeni Syndrome?

A

Autosomal dominant
Germline mutations to p53 TSG
High incidence of malignancies, particularly sarcoma and leukaemia

Sarcoma under 45 years
First degree relative with any cancer below 45 and another family member with sarcoma at any age

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2
Q

What are associations with BRCA1 and BRCA2

A

BRCA1 (17q) BRCA2(13q)
Both TSGs although they are dominant
Breast cancer
Ovarian cancer

BRCA2 is liked to prostate cancer in men

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3
Q

What is lynch syndrome?

A

Autosomal dominant
Colorectal and endometrial cancer at any age
Ovarian, urinary tract, small bowel, stomach, hepatobiliary tract

HNPCC

Use Amsterdam criteria to diagnose:

3+ family members with colorectal cancer, one who is first degree (parent child sibling) relative of other 2

One or more colon cancer diagnosed under 50

Familial adenomatous polyposis excluded§

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4
Q

What is Gardners syndrome?

A

Autosomal familial adenomatous polyposis
Mutations in APC gene
Multiple colorectal adenomas which undergo malignant transformation

Colectomy to reduce risk of colorectal cancer

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5
Q

Most common causes of cancer?

A
Breast
Lung
Colorectal
Prostate
Bladder
NHL
Melanoma
Stomach
Oesophagus
Pancreas
Most deaths:
Lung
Colorectal
Breast
Prostate
Pancreas
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