Cancer Surveillance Guideline for individuals with PTEN hamartoma tumour syndrome
PTEN hamartoma tumour syndrome is a diverse multi-system disorder predisposing to the development of hamartomatous growths, increasing risk of breast, thyroid, renal cancer, and possibly increasing risk of endometrial cancer, colorectal cancer and melanoma. There is no international consensus on can...
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description | PTEN hamartoma tumour syndrome is a diverse multi-system disorder predisposing to the development of hamartomatous growths, increasing risk of breast, thyroid, renal cancer, and possibly increasing risk of endometrial cancer, colorectal cancer and melanoma. There is no international consensus on cancer surveillance in PHTS and all current guidelines are based on expert opinion. A comprehensive literature review was undertaken and guidelines were developed by clinicians with expertise from clinical genetics, gynaecology, endocrinology, dermatology, radiology, gastroenterology and general surgery, together with affected individuals and their representatives. Recommendations were put forward for surveillance for breast, thyroid and renal cancers. Limited recommendations were developed for other sites including endometrial, colon and skin. The proposed cancer surveillance recommendations for PHTS require a coordinated multidisciplinary approach and significant patient commitment. The evidence base for cancer surveillance in this guideline are limited, emphasising the need for prospective evaluation of the effectiveness of surveillance in the PHTS population. |
doi_str_mv | 10.1038/s41431-020-0651-7 |
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The evidence base for cancer surveillance in this guideline are limited, emphasising the need for prospective evaluation of the effectiveness of surveillance in the PHTS population.</description><identifier>ISSN: 1018-4813</identifier><identifier>ISSN: 1476-5438</identifier><identifier>EISSN: 1476-5438</identifier><identifier>DOI: 10.1038/s41431-020-0651-7</identifier><identifier>PMID: 32533092</identifier><language>eng</language><publisher>England: Nature Publishing Group</publisher><subject>Breast cancer ; Cancer ; Colorectal carcinoma ; Endocrinology ; Endometrial cancer ; Endometrium ; Gastroenterology ; Genetics & genetic processes ; Génétique & processus génétiques ; Kidney cancer ; Life sciences ; Literature reviews ; Medicin och hälsovetenskap ; Melanoma ; Neoplasia ; PTEN protein ; Sciences du vivant ; Surgery ; Surveillance ; Thyroid cancer ; Thyroid gland ; Tumors</subject><ispartof>EUROPEAN JOURNAL OF HUMAN GENETICS, 2020-10, Vol.28 (10), p.1387-1393</ispartof><rights>The Author(s) 2020. 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There is no international consensus on cancer surveillance in PHTS and all current guidelines are based on expert opinion. A comprehensive literature review was undertaken and guidelines were developed by clinicians with expertise from clinical genetics, gynaecology, endocrinology, dermatology, radiology, gastroenterology and general surgery, together with affected individuals and their representatives. Recommendations were put forward for surveillance for breast, thyroid and renal cancers. Limited recommendations were developed for other sites including endometrial, colon and skin. The proposed cancer surveillance recommendations for PHTS require a coordinated multidisciplinary approach and significant patient commitment. The evidence base for cancer surveillance in this guideline are limited, emphasising the need for prospective evaluation of the effectiveness of surveillance in the PHTS population.</description><subject>Breast cancer</subject><subject>Cancer</subject><subject>Colorectal carcinoma</subject><subject>Endocrinology</subject><subject>Endometrial cancer</subject><subject>Endometrium</subject><subject>Gastroenterology</subject><subject>Genetics & genetic processes</subject><subject>Génétique & processus génétiques</subject><subject>Kidney cancer</subject><subject>Life sciences</subject><subject>Literature reviews</subject><subject>Medicin och hälsovetenskap</subject><subject>Melanoma</subject><subject>Neoplasia</subject><subject>PTEN protein</subject><subject>Sciences du vivant</subject><subject>Surgery</subject><subject>Surveillance</subject><subject>Thyroid cancer</subject><subject>Thyroid 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Genet</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>28</volume><issue>10</issue><spage>1387</spage><epage>1393</epage><pages>1387-1393</pages><issn>1018-4813</issn><issn>1476-5438</issn><eissn>1476-5438</eissn><abstract>PTEN hamartoma tumour syndrome is a diverse multi-system disorder predisposing to the development of hamartomatous growths, increasing risk of breast, thyroid, renal cancer, and possibly increasing risk of endometrial cancer, colorectal cancer and melanoma. There is no international consensus on cancer surveillance in PHTS and all current guidelines are based on expert opinion. A comprehensive literature review was undertaken and guidelines were developed by clinicians with expertise from clinical genetics, gynaecology, endocrinology, dermatology, radiology, gastroenterology and general surgery, together with affected individuals and their representatives. Recommendations were put forward for surveillance for breast, thyroid and renal cancers. Limited recommendations were developed for other sites including endometrial, colon and skin. The proposed cancer surveillance recommendations for PHTS require a coordinated multidisciplinary approach and significant patient commitment. The evidence base for cancer surveillance in this guideline are limited, emphasising the need for prospective evaluation of the effectiveness of surveillance in the PHTS population.</abstract><cop>England</cop><pub>Nature Publishing Group</pub><pmid>32533092</pmid><doi>10.1038/s41431-020-0651-7</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-7880-0628</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Breast cancer Cancer Colorectal carcinoma Endocrinology Endometrial cancer Endometrium Gastroenterology Genetics & genetic processes Génétique & processus génétiques Kidney cancer Life sciences Literature reviews Medicin och hälsovetenskap Melanoma Neoplasia PTEN protein Sciences du vivant Surgery Surveillance Thyroid cancer Thyroid gland Tumors |
title | Cancer Surveillance Guideline for individuals with PTEN hamartoma tumour syndrome |
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