The guidelines for clinical practice for carriers of germline mutations in the Lynch syndrome predisposition genes MLH1, MSH2, MSH6, PMS2 and large deletions of EPCAM (4.2024)
Authors:
J. Novotný 1,2; D. Cibula 3; V. Curtisová 4; O. Dubová 5; L. Foretová 6; A. Germanová 3; M. Janatová 7; O. Havránek 2; M. Hojsáková 8; M. Hudcová 9; M. Koudová 10; V. Krutílková 11; M. Palacova 12; S. Paulich 13; K. Petrakova 12; J. Presl 14; A. Puchmajerová 9; J. Soukupová 7; M. Šenkeříková 15,16; Z. Šimková 17; H. Štěpánková 17; I. Šubrt 18; I. Tachecí 19; P. Tesner 20; O. Urban 21; K. Veselá 2; Š. Vilímová 22; Z. Vlčková 23; M. Vočka 2,24; V. Weinberger 25; M. Zikán 5; M. Zimovjanová 24; Z. Kleibl 7; P. Kleiblová 2,7
Authors place of work:
Klinická onkologie, Institut klinické a experimentální medicíny, Praha
1; Ústav bio logie a lékařské genetiky, 1. LF UK a VFN v Praze
2; Klinika gynekologie, porodnictví a neonatologie 1. LF UK a VFN v Praze
3; Ústav lékařské genetiky, FN Olomouc
4; Gynekologicko-porodnická klinika 1. LF UK a FN Bulovka, Praha
5; Oddělení epidemiologie a genetiky nádorů (člen ERN Genturis), MOÚ, Brno
6; Ústav lékařské bio chemie a laboratorní dia gnostiky, 1. LF UK a VFN v Praze
7; Oddělení lékařské genetiky, KN Liberec
8; Onkologická klinika LF UP a FN Olomouc
9; Centrum lékařské genetiky a reprodukční medicíny, Gennet, Praha
10; Oddělení lékařské genetiky, Laboratoře AGEL a. s., Nový Jičín
11; Klinika komplexní onkologické péče LF MU a MOÚ, Brno
12; Oddělení klinické onkologie, KN Liberec
13; Gynekologicko-porodnická klinika LF v Plzni UK a FN Plzeň
14; Oddělení lékařské genetiky, FN Hradec Králové
15; Lékařská genetika, Prenet, Pardubice
16; Ambulance lékařské genetiky, Nemocnice České Budějovice
17; Ústav lékařské genetiky, LF v Plzni UK a FN Plzeň
18; II. interní gastroenterologická klinika LF v Hradci Králové UK a FN Hradec Králové
19; Ústav bio logie a lékařské genetiky (člen ERN Genturis), 2. LF UK a FN Motol, Praha
20; II. interní klinika – gastroenterologická a geriatrická LF UP a FN Olomouc
21; Oddělení lékařské genetiky, Pronatal, Praha
22; Oddělení klinické genetiky, GHC Genetics, Praha
23; Onkologická klinika 1. LF UK a VFN v Praze
24; Gynekologicko-porodnická klinika LF MU a FN Brno
25
Published in the journal:
Klin Onkol 2024; 38(5): 384-389
Category:
Short Communication
doi:
https://doi.org/10.48095/ccko2024384
Summary
The guidelines for clinical practice for carriers of pathogenic variants in clinically relevant genes predisposing to Lynch syndrome and colorectal cancer define the steps of primary and secondary prevention that should be provided to the individuals at high risk of developing hereditary cancer in the Czech Republic. The drafting of the guidelines was organized by the Oncogenetics Working Group of the Society for Medical Genetics and Genomics of J. E. Purkyně Czech Medical Society, in cooperation with representatives of oncology, oncogynecology, and gastroenterology. The guidelines are based on the current recommendations of the National Comprehensive Cancer Network (NCCN), European Society of Medical Oncology (ESMO) and take into account the capacity of the Czech healthcare system.
Keywords:
consensus – MLH1 – MSH6 – PMS2 – guidelines for clinical practice – germline mutation carriers – MSH2/EPCAM
Zdroje
1. ÚZIS. Zdravotnická ročenka České republiky 2021. [online]. Dostupné z: https: //www.uzis.cz/res/f/008435/zdrroccz2021.pdf.
2. Novotný J, Vítek P, Kleibl Z et al. Onkologie v klinické praxi. Praha: Mladá fronta 2019.
3. Moreira L, Balaquer F, Lindor N et al. Identification of Lynch syndrome among patients with colorectal cancer. JAMA 2012; 308 (15): 1555–1556. doi: 10.1001/jama.2012.13088.
4. Foretová L, Navrátilová M, Svoboda M et al. Recommendations for preventive care for women with rare genetic cause of breast and ovarian cancer. Klin Onkol 2019; 32 (Suppl 2): 6–13. doi: 10.14735/amko2019S6.
5. Foretová L, Macháčková E, Gaillyová R et al. Hereditární nádorová onemocnění v klinické praxi. Praha: Grada 2022.
6. NCCN. Genetic/familial high-risk assessment: breast, ovarian, and pancreatic, version 3.2024. [online]. Dostupné z: https: //www.nccn.org/guidelines/guidelines-detail?category=2&id=1503.
7. Stjepanovic N, Moreira L, Carneiro F et al. Hereditary gastrointestinal cancers: ESMO clinical practice guidelins for diagnosis, treatment and follow-up. Ann Oncol 2019; 30 (10): 1558–1571. doi: 10.1093/annonc/mdz233.
8. Peltomaki P, Nystrom M, Mecklin JP et al. Lynch syndrome genetics and clinical implications. Gastroenterology 2023; 164 (5): 783–799. doi: 10.1053/j.gastro.2022.08.058.
9. Ercan AB, Aronson M, Fernandez NR et al. Clinical and biological landscape of constitutional mismatch-repair deficiency syndrome: an International Replication Repair Deficiency Consortium cohort study. Lancet Oncol 2024; 25 (5): 668–682. doi: 10.1016/S1470-2045 (24) 00026-3.
10. Burn J, Gerdes AM, Macrae F et al. Long-term effect of aspirin on cancer risk in carriers of hereditary colorectal cancer: an analysis from the CAPP2 randomised controlled trial. Lancet 2011; 378 (9809): 2081–2087. doi: 10.1016/S0140-6736 (11) 61049-0.
11. Stjepanovic N, Moreira L, Carneiro F et al. Hereditary gastrointestinal cancers: ESMO clinical practice guidelins for diagnosis, treatment and follow-up. Annals of Oncol 2019; 30 (10): 1558–1571. doi: 10.1093/annonc/mdz 233.
12. Pracovní skupina Společnosti lékařské genetiky (SLG). Doporučení. [online]. Distupné z: https: //www.onkogenetika.cz/doporuceni.html.
13. Česká onkologická společnost ČLS JEP. Lékař a multidisciplinární tým. [online]. Dostupné z: https: //www.linkos.cz/lekar-a-multidisciplinarni-tym/.
14. Peltomaki P, Nystrom M, Mecklin JP et al. Lynch syndrome genetics and clinical implications. Gastroenterology 2023; 164 (5): 783–799. doi: 10.1053/j.gastro.2022.08.058.
15. Bonadona V, Bonaiti B, Olschwang S et al. Cancer risks associated with germline mutations in MLH1, MSH2, and MSH6 genes in Lynch syndrome. JAMA 2011; 305 (22): 2304–2310. doi: 10.1001/jama.2011.743.
16. Moller P, Seppala T, Bernstein I et al. Cancer incidence and survival in Lynch syndrome patients receiving colonoscopic and gynaecological surveillance: first report from the prospective Lynch syndrome database. Gut 2017; 66 (3): 464–472. doi: 10.1136/gutjnl-2015-309675.
17. Moller P, Seppala TT, Bernstein I et al. Cancer risk and survival in path_MMR carriers by gene and gender up to 75 years of age: a report from the Prospective Lynch Syndrome Database. Gut 2018; 67 (7): 1306–1316. doi: 10.1136/gutjnl-2017-314057.
18. Ryan NAJ, Morris J, Green K et al. Association of mismatch repair mutation with age at cancer onset in lynch syndrome: implications for stratified surveillance strategies. JAMA Oncol 2017; 3 (12): 1702–1706. doi: 10.1001/jamaoncol.2017.0619.
19. Engel C, Loeffler M, Steinke V et al. Risks of less common cancers in proven mutation carriers with lynch syndrome. J Clin Oncol 2012; 30 (55): 4409–4415. doi: 10.1200/JCO.2012.43.2278.
20. Dominguez-Valentin M, Joost P, Therkildsen C et al. Frequent mismatch-repair defects link prostate cancer to Lynch syndrome. BMC Urol 2016; 16: 15. doi: 10.1186/s12894-016-0130-1.
21. Joost P, Therkildsen C, Dominguez-Valentin M et al. Urinary tract cancer in lynch syndrome; increased risk in carriers of MSH2 mutations. Urology 2015; 86 (6): 1212–1217. doi: 10.1016/j.urology.2015.08.018.
22. Capelle LG, Van Grieken NC, Lingsma HF et al. Risk and epidemiological time trends of gastric cancer in Lynch syndrome carriers in the Netherlands. Gastroenterology 2010; 138 (2): 487–492. doi: 10.1053/j.gastro.2009.10.051.
23. Ercan AB, Aronson M, Fernandez NR et al. Clinical and biological landscape of constitutional mismatch-repair deficiency syndrome: an International Replication Repair Deficiency Consortium cohort study. Lancet Oncol 2024; 25 (5): 668–682. doi: 10.1016/S1470-2045 (24) 00026-3.
24. Burn J, Gerdes AM, Macrae F et al. Long-term effect of aspirin on cancer risk in carriers of hereditary colorectal cancer: an analysis from the CAPP2 randomised controlled trial. Lancet 2011; 378 (9809): 2081–2087. doi: 10.1016/S0140-6736 (11) 61049-0.
25. Sessa C, Balmana J, Bober SL et al. Risk reduction and screening of cancer in hereditary breast-ovarian cancer syndromes: ESMO Clinical Practice Guideline. Ann Oncol 2023; 34 (1): 33– 47. doi: 10.1016/ j. annonc.2022.10.004.
Štítky
Paediatric clinical oncology Surgery Clinical oncologyČlánok vyšiel v časopise
Clinical Oncology
2024 Číslo 5
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
- Current Insights into the Antispasmodic and Analgesic Effects of Metamizole on the Gastrointestinal Tract
- Obstacle Called Vasospasm: Which Solution Is Most Effective in Microsurgery and How to Pharmacologically Assist It?
Najčítanejšie v tomto čísle
- Treatment of retroperitoneal fibrosis with rituximab, cyclophosphamide and dexamethasone, followed by rituximab and dexamethasone maintenance, achieved disappearance of pathological PET accumulation of FDG and regression of fibrotic masses after 4 months of therapy and the patient is still in complete remission after 3 years. A case report and iteraure review.
- Gemcitabine/nab-paclitaxel in first line treatment of advanced pancreatic cancer – head-to-head comparison with the mFOLFIRINOX regimen
- The guidelines for clinical practice for carriers of germline mutations in the Lynch syndrome predisposition genes MLH1, MSH2, MSH6, PMS2 and large deletions of EPCAM (4.2024)
- Viral pneumonia in a patient treated with pembrolizumab – similarity with immune-related pneumonitis