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  • Yang, XinUniversity of Cambridge (author)

Cancer risks associated with germline PALB2 pathogenic variants : An international study of 524 families

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • 2020

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:9c2cb720-8f1e-451d-a459-53260d1bafbb
  • https://lup.lub.lu.se/record/9c2cb720-8f1e-451d-a459-53260d1bafbbURI
  • https://doi.org/10.1200/JCO.19.01907DOI

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  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • PURPOSE To estimate age-specific relative and absolute cancer risks of breast cancer and to estimate risks of ovarian, pancreatic, male breast, prostate, and colorectal cancers associated with germline PALB2 pathogenic variants (PVs) because these risks have not been extensively characterized. METHODS We analyzed data from 524 families with PALB2 PVs from 21 countries. Complex segregation analysis was used to estimate relative risks (RRs; relative to country-specific population incidences) and absolute risks of cancers. The models allowed for residual familial aggregation of breast and ovarian cancer and were adjusted for the family-specific ascertainment schemes. RESULTS We found associations between PALB2 PVs and risk of female breast cancer (RR, 7.18; 95% CI, 5.82 to 8.85; P = 6.5 × 10-76), ovarian cancer (RR, 2.91; 95% CI, 1.40 to 6.04; P = 4.1 × 10-3), pancreatic cancer (RR, 2.37; 95% CI, 1.24 to 4.50; P = 8.7 × 10-3), and male breast cancer (RR, 7.34; 95% CI, 1.28 to 42.18; P = 2.6 3 1022). There was no evidence for increased risks of prostate or colorectal cancer. The breast cancer RRs declined with age (P for trend = 2.0 × 10-3). After adjusting for family ascertainment, breast cancer risk estimates on the basis of multiple case families were similar to the estimates from families ascertained through population-based studies (P for difference = .41). On the basis of the combined data, the estimated risks to age 80 years were 53% (95% CI, 44% to 63%) for female breast cancer, 5% (95% CI, 2% to 10%) for ovarian cancer, 2%-3% (95% CI females, 1% to 4%; 95% CI males, 2% to 5%) for pancreatic cancer, and 1% (95% CI, 0.2% to 5%) for male breast cancer. CONCLUSION These results confirm PALB2 as a major breast cancer susceptibility gene and establish substantial associations between germline PALB2 PVs and ovarian, pancreatic, and male breast cancers. These findings will facilitate incorporation of PALB2 into risk prediction models and optimize the clinical cancer risk management of PALB2 PV carriers.

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  • Leslie, GoskaUniversity of Cambridge (author)
  • Doroszuk, AlicjaUniversity of Cambridge (author)
  • Schneider, SandraUniversity of Cambridge (author)
  • Allen, JamieUniversity of Cambridge (author)
  • Decker, BrennanNational Human Genome Research Institute,University of Cambridge,Brigham and Women's Hospital / Harvard Medical School (author)
  • Dunning, Alison M.University of Cambridge (author)
  • Redman, JamesUniversity of Cambridge (author)
  • Scarth, JamesUniversity of Cambridge (author)
  • Plaskocinska, IngaUniversity of Cambridge (author)
  • Luccarini, CraigUniversity of Cambridge (author)
  • Shah, MitulUniversity of Cambridge (author)
  • Pooley, KarenUniversity of Cambridge (author)
  • Dorling, LeilaUniversity of Cambridge (author)
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  • Claes, Kathleen B.M.Ghent University Hospital (author)
  • Concannon, PatrickUniversity of Florida (author)
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  • Usha, LydiaClinical Cancer Genomics Community Research Network (author)
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  • University of CambridgeNational Human Genome Research Institute (creator_code:org_t)

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  • In:Journal of Clinical Oncology38:7, s. 674-6850732-183X

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By the author/editor
Yang, Xin
Leslie, Goska
Doroszuk, Alicja
Schneider, Sandr ...
Allen, Jamie
Decker, Brennan
show more...
Dunning, Alison ...
Redman, James
Scarth, James
Plaskocinska, In ...
Luccarini, Craig
Shah, Mitul
Pooley, Karen
Dorling, Leila
Leei, Andrew
Adank, Muriel A.
Adlard, Julian
Aittomäki, Krist ...
Andrulis, Irene ...
Ang, Peter
Barwell, Julian
Bernstein, Jonin ...
Bobolis, Kristie
Borg, Åke
Blomqvist, Carl
Claes, Kathleen ...
Concannon, Patri ...
Cuggia, Adeline
Culver, Julie O.
Damiola, Frances ...
De Pauw, Antoine
Diez, Orland
Dolinsky, Jill S ...
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Engel, Christoph
Evans, D. Gareth
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Golmard, Lisa
Goode, Ellen L.
Gruber, Stephen ...
Hahnen, Eric
Hake, Christophe ...
Heikkinen, Tuoma ...
Hurley, Judith E ...
Janavicius, Ramu ...
Kleibl, Zdenek
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Konstantopoulou, ...
Kvist, Anders
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Lee, Ann S.G.
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Mannermaa, Arto
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McFarland, Rache ...
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Meindl, Alfons
Metcalfe, Kelly
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Moilanen, Jukka
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James, Paul
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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