Recommendations for the implementation of BRCA testing in ovarian cancer patients and their relatives

[Display omitted] The current availability of new Poly(ADP-ribose) Polymerase (PARP)-inhibitors for the treatment of ovarian cancer patients independently of the presence of a BRCA pathogenic variant, together with the validation of somatic test for the analysis of BRCA1/2 genes, involves the need t...

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Veröffentlicht in:Critical reviews in oncology/hematology 2019-08, Vol.140, p.67-72
Hauptverfasser: Gori, Stefania, Barberis, Massimo, Bella, Maria Angela, Buttitta, Fiamma, Capoluongo, Ettore, Carrera, Paola, Colombo, Nicoletta, Cortesi, Laura, Genuardi, Maurizio, Gion, Massimo, Guarneri, Valentina, Incorvaia, Lorena, La Verde, Nicla, Lorusso, Domenica, Marchetti, Antonio, Marchetti, Paolo, Normanno, Nicola, Pasini, Barbara, Pensabene, Matilde, Pignata, Sandro, Radice, Paolo, Ricevuto, Enrico, Sapino, Anna, Tagliaferri, Pierosandro, Tassone, Pierfrancesco, Trevisiol, Chiara, Truini, Mauro, Varesco, Liliana, Russo, Antonio
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container_title Critical reviews in oncology/hematology
container_volume 140
creator Gori, Stefania
Barberis, Massimo
Bella, Maria Angela
Buttitta, Fiamma
Capoluongo, Ettore
Carrera, Paola
Colombo, Nicoletta
Cortesi, Laura
Genuardi, Maurizio
Gion, Massimo
Guarneri, Valentina
Incorvaia, Lorena
La Verde, Nicla
Lorusso, Domenica
Marchetti, Antonio
Marchetti, Paolo
Normanno, Nicola
Pasini, Barbara
Pensabene, Matilde
Pignata, Sandro
Radice, Paolo
Ricevuto, Enrico
Sapino, Anna
Tagliaferri, Pierosandro
Tassone, Pierfrancesco
Trevisiol, Chiara
Truini, Mauro
Varesco, Liliana
Russo, Antonio
description [Display omitted] The current availability of new Poly(ADP-ribose) Polymerase (PARP)-inhibitors for the treatment of ovarian cancer patients independently of the presence of a BRCA pathogenic variant, together with the validation of somatic test for the analysis of BRCA1/2 genes, involves the need to optimise the guidelines for BRCA testing. The AIOM-SIGU-SIBIOC-SIAPEC-IAP Italian Scientific Societies, in this position paper, recommend the implementation of BRCA testing with 2 main objectives: the first is the identification of ovarian cancer patients with higher probability of benefit from specific anticancer treatments (test for response to therapy); the second goal, through BRCA testing in the family members of ovarian cancer patients, is the identification of carriers of pathogenic variant, who have inheredited predisposition to cancer development (test for cancer risk). These individuals with increased risk of cancer, should be encouraged to participate in dedicated high-risk surveillance clinics and specific risk-reducing measures (primary and/or secondary prevention programs).
doi_str_mv 10.1016/j.critrevonc.2019.05.012
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subjects BRCA1
BRCA2
Genetic testing
Germline mutations
Ovarian cancer
PARP inhibitors
Somatic mutations
title Recommendations for the implementation of BRCA testing in ovarian cancer patients and their relatives
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