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Hereditary breast and ovarian cancer (HBOC): review of its molecular characteristics, screening, treatment, and prognosis

期刊

BREAST CANCER
卷 28, 期 6, 页码 1167-1180

出版社

SPRINGER JAPAN KK
DOI: 10.1007/s12282-020-01148-2

关键词

Hereditary breast and ovarian cancer; BRCA; BRCA1; 2mutations; HBOC

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Breast cancer affects a large number of patients, with 5-10% being genetically predisposed. Advances in NGS technology have led to the discovery of non-BRCA genes associated with breast and ovarian cancers. Research on HBOC involves predisposition, treatment, prevention, risk diagnosis, and protective measures for relatives, emphasizing the importance of updating cancer management protocols.
Breast cancer is a common cancer affecting a large number of patients. Notably, 5-10% of all breast cancer patients are genetically predisposed to cancers. Although the most common breast cancer susceptibility genes areBRCA1andBRCA2, which are also associated with the risk of developing ovarian and pancreatic cancer, advances in next-generation sequencing (NGS) analysis technology enabled the discovery of several non-BRCAgenes responsible for breast and ovarian cancers. Studies on hereditary breast and ovarian cancer (HBOC) involve not only determining the predisposition to developing cancer, but also considering the current treatment for breast cancer, prevention of next cancer, risk diagnosis, and adoption of protective measures for relatives. We present a comprehensive review of HBOC, which will be a useful resource in the clinical setting. Many hereditary tumors, including HBOC, are syndromes characterized by the development of different types of cancer in succession. Taking advantage of knowing predisposition of susceptibility to cancer, it is important to continue and update cancer management protocols, which includes the adoption of preventive measures, countermeasures, and treatments, to accurately assess and prevent the impact of cancer on the quality of life of the next generation of patients.

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